Pseudoaneurysm of the profunda femoral artery

Case contributed by Dr Charlie Chia-Tsong Hsu


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).

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Case information

rID: 19203
Published: 16th Aug 2012
Last edited: 14th Aug 2019
System: Vascular
Inclusion in quiz mode: Included

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