Vascular: Femoral Aneurysm

Question 1

Describe the pathophysiology of a femoral aneurysm

Answer 1

50% larger than its normal diameter

Question 2

What is the aetiology of a femoral aneurysm?

Answer 2

Trauma

Infection

CT disease (Marfan’s)

Inflammatory disease

Main causes

1) Percutaneous vascular interventions
2) Intravenous drug users who inject into the groin

Question 3

Name the risk factors for a femoral aneurysm

Answer 3

Smoking

HTN

Hyperlipidaemia

FH

Question 4

What symptoms are seen in someone with a femoral aneurysm

Answer 4

Varying degrees of claudication

Swelling in the groin

Question 5

What investigations should be performed for a suspected femoral aneurysm?

Answer 5

US duplex = useful for detection and follow up

CT angiography = gold standard

MR angiography

Question 6

Outline the management for a femoral aneurysm

Answer 6

Surgical repair = ligation of the aneurysm or resection of the aneurysm with a bypass graft (either a vein from the patient (preferred) or a graft)

Question 7

What are the complications of a femoral aneurysm?

Answer 7

Rupture (rare)