Describe the epidemiology.
Second most common peripheral aneurysm after popliteal aneurysms
List clinical features.
May be asymptomatic
Acute limb ischemia → 6 Ps
Compression of nearby nerves or veins: sudden pain, weakness, swelling, numbness in the leg
Painless, pulsatile swelling with a palpable thrill at the mid-inguinal point
Auscultation of the swelling: loud, harsh, continuous murmur
Often associated with other aneurysms, esp. AAA and thoracic aortic aneurysm
Describe diagnostics.
Doppler ultrasonography (best initial test): identifies thrombus and patency of vessel
CT angiography: preoperative assessment
List complications.
Rupture: acute groin pain
Blue toe syndrome
Describe the treatment.
Procedure: surgery with bypass or surgical excision of aneurysm
Indication
Symptomatic
IAA ≥ 3 cm
Rapidly expanding
Coexistent AAA
Complications are present
Last changeda year ago