Surgical correction of traumatic common femoral artery aneurysm in intravenous drug abuser

Abstract

Trauma is an uncommon cause of common femoral artery aneurysm (CFAA). We present a 31-year-old male with a history of intravenous drug abuse with an incidental finding of the right leg CFA aneurysm during ultrasonography Doppler for deep vein thrombosis. The aneurysm was surgically excised and repaired with polytetrafluoroethylene graft as good peripheral veins were not available due to the history of repeated puncture. Peroperative finding was a right-sided CFA aneurysm measuring about 3 cm × 1 cm with the distal end 1 cm below profunda femoris. In cases of growing CFAA, surgical excision and anastomosis between proximal and distal segments using a conduit are the treatment modality.

Keywords

• femoral artery aneurysm
• intravenous drug abuse
• peripheral bypass surgery
• traumatic aneurysm