Pseudoaneurysm of the profunda femoral artery

Case contributed by 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 color 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 color Doppler flow and triphasic waveform of the superficial femoral artery (SFA).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.