Pseudoaneurysm of the profunda femoral artery

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

50 year old male day 1 post coronary intervention. Right femoral artery puncture was performed without US guidance.

Patient Data

Age: 50
Gender: Male

Image 1. B mode US shows an anechoic structure in the right groin measuring 3.5 by 2.5 cm. 
Image 2. Doppler US shows swirling flow as evident by different colour signal within the lesion (yin yang sign). 
Image 3 and 4. A narrow neck region (0.5 cm) is identified and communicates with the profunda femoral artery (PFA). This confirms the finding of a pseudoaneurysm arising from the PFA.
Image 5. Bidirectional "to and fro" flow is present. Due to narrow neck of the aneurysm there is significant turbulent flow as demonstrated by spectral widening. 
Image 6. Normal colour Doppler flow and triphasic waveform of the superficial femoral artery (SFA).

PlayAdd to Share

Case information

rID: 19203
Case created: 16th Aug 2012
Last edited: 17th Dec 2015
System: Vascular
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.