Multiple deep femoral artery aneurysms with Loeys-Dietz syndrome

Haruki Tanaka; Kazuki Naito; Shota Kobayashi; Kazunori Komatsu

doi:10.1016/j.jvscit.2022.11.009

Multiple deep femoral artery aneurysms with Loeys-Dietz syndrome

J Vasc Surg Cases Innov Tech. 2022 Dec 5;9(1):101071. doi: 10.1016/j.jvscit.2022.11.009. eCollection 2023 Mar.

Authors

Haruki Tanaka¹, Kazuki Naito¹, Shota Kobayashi², Kazunori Komatsu¹

Affiliations

¹ Department of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Japan.
² Department of Diagnostic Pathology, Suwa Red Cross Hospital, Suwa, Japan.

Abstract

A 60-year-old man with Loeys-Dietz syndrome (LDS) underwent surgery for multiple left deep femoral artery aneurysms (DFAAs). An intraoperative graft replacement was performed from the common femoral artery to the distal DFAAs; the superficial femoral artery was sutured to the graft. DFAAs in association with LDS and the occurrence of multiple DFAAs are rare. To the best of our knowledge, no studies have reported their coexistence. Graft replacement was decided as the optimal treatment for our patient. However, treatment should be considered on a patient-by-patient basis. Therefore, a lower limb arterial examination should accompany the screening of patients with LDS.

Keywords: Aneurysm; Loeys-Dietz syndrome; Multiple femoral arterial aneurysm; Peripheral arterial disease; Vascular disease.

Publication types

Case Reports