# Late failure of endovascular repair of an isolated true aneurysm of the profunda femoris artery

## TL;DR

This paper discusses a rare case where endovascular repair of a profunda femoris artery aneurysm failed after three years, requiring open surgery.

## Contribution

The novelty lies in presenting a rare case of late failure following endovascular treatment of an isolated true profunda femoris artery aneurysm.

## Key findings

- Endovascular repair of a true profunda femoris artery aneurysm failed after nearly three years.
- Late failure of endovascular repair necessitated open surgical intervention.
- Isolated profunda femoris artery aneurysms are rare and present unique treatment challenges.

## Abstract

Isolated profunda femoris artery aneurysms (PFAAs) are rare among all peripheral artery aneurysms. True PFAAs are often associated with atherosclerosis, whereas PFA pseudoaneurysms are related to trauma. The optimal treatment for PFAAs is unclear, but a variety of methods have been used, such as open resection with or without revascularization, stent graft placement, and coil embolization. We present an interesting case of a PFAA initially treated with endovascular means with a late failure requiring open surgery nearly 3 years after the initial treatment.