# Surgical management of a superficial femoral artery aneurysm in a patient with a high risk of thromboembolism

## TL;DR

A 62-year-old man with a high risk of blood clots underwent successful surgery to remove a femoral artery aneurysm and prevent complications.

## Contribution

This case highlights successful surgical management of a high-risk femoral artery aneurysm with thrombus progression.

## Key findings

- Surgical resection and grafting resolved the aneurysm and prevented embolization.
- Three-year follow-up showed no recurrence or complications at the surgical site.
- Anticoagulation alone was insufficient to halt thrombus progression in this patient.

## Abstract

A 62-year-old man with a history of proteinase 3-specific antineutrophil cytoplasmic antibody-associated vasculitis, antiphospholipid syndrome, and deep vein thrombosis presented with an asymptomatic 15-mm-diameter right superficial femoral artery (SFA) aneurysm, showing increased intraluminal thrombus on computed tomography compared to 2 years prior. Despite anticoagulation, thrombus progression prompted surgery to prevent embolization. The right SFA atherosclerotic aneurysm was resected. A reversed femoral vein graft was used for arterial reconstruction. Three-year follow-up computed tomography showed no aneurysm or pseudoaneurysm at the reconstructed site. Surgery was successful in this case of a right SFA aneurysm at a high thrombosis risk.