Blue Toe Sendromu ile Ortaya Çıkan Yüzeyel Femoral Arterin İzole Gerçek Sakküler Anevrizması

Yıl 2018, Cilt: 5 Sayı: 1, 17 - 20, 25.07.2018

Burak Can Depboylu Serkan Yazman Buğra Harmandar Serkan Yaşar Çelik

Öz

Yüzeyel femoral arterin izole gerçek anevrizması
alt ekstremitelerin fonksiyonlarını ve canlılığını tehdit edebilen nadir bir
durumdur. Olguların çoğu asemptomatik olsa da, önde gelen semptom genellikle
diğer periferik arter anevrizmalarından farklı olarak rüptürdür. Yüzeyel
femoral arter anevrizmaları genellikle bilateral ya da eşlik eden diğer
anevrizmalar ile birlikte görülürler. Burada “Blue Toe Sendromu” ile başvuran
izole bir yüzeyel femoral arter anevrizmasını rapor ettik. 69 yaşında erkek
hasta sağ ayak 3. ve 4. parmaklarında morarma ile kardiyovasküler cerrahi
kliniğine başvurdu. Ultrasonografi ve bilgisayarlı tomografi anjiografi ile
Hunter Kanalında 33 mm. çapında kendisinden bir kas arteri ayrılan izole,
sakküler yüzeyel femoral arter anevrizması tespit edildi. Hasta yatırıldı ve
elektif şartlarda başarılı bir anevrizma eksizyonu ve greft interpozisyonu
operasyonu yapıldı. Hastanın postoperatif takibi sorunsuz geçti ve postoperatif
5. günde taburcu edildi. Erken dönemdeki asemptomatik doğaları nedeniyle,
yüzeyel femoral arter anevrizmaları akılda tutulmadıkça dikkatten kolayca
kaçabilirler. Teşhis edildiklerinde, tüm semptomatik olgular ve hatta kritik
genişlikte olan asemptomatik olgular da ameliyat edilmeli veya endovasküler
tekniklerle tedavi edilmelidir.

Anahtar Kelimeler

Cerrahi, Femoral Arter, Sakküler Anevrizma, Vasküler Greftleme

The Isolated True Saccular Aneurysm of the Superficial Femoral Artery Presenting with Blue Toe Syndrome

Öz

Isolated true
aneurysm of the superficial femoral artery is a rare condition which can
threaten the functions and viability of the lower extremities. Despite most of
the cases are asymptomatic, the leading symptom is usually rupture, differently
from the other peripheral artery aneurysms. They usually seem bilaterally or with
accompanying other aneurysms. Here, we reported an isolated superficial femoral
artery aneurysm admitted with “Blue Toe Syndrome”. 69 years old male patient
admitted to the cardiovascular surgery clinic with bruising in his right 3th
and 4th toes. An isolated saccular superficial femoral artery aneurysm of 33 mm
with an arising muscular artery form the aneurysm in the Hunter`s Canal was
detected with ultrasonography and computed tomography angiography. The patient
hospitalized and underwent a successful elective aneurysm excision with graft
interposition. Post-operative follow up of the patient was uneventful and he
was discharged on the post-operative 5th day.Due to their asymptomatic nature
in the early period, superficial femoral artery aneurysms can easily escape
from attention unless they do not keep in mind. When they diagnosed, all
symptomatic cases and even the asymptomatic ones with a critical enlargement
should be operated or treated with endovascular techniques.

Anahtar Kelimeler

Femoral Artery, Saccular Aneurysm, Surgery, Vascular Grafting

Kaynakça

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