Ruptured superficial femoral artery aneurysm: A case report
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Superficial femoral artery aneurysms comprise approximately 15% of all femoral artery aneurysms. By definition, these aneurysms are greater than twice the normal arterial diameter (7.2 mm in males and 6.2 mm in females). Due to the deep anatomic location of the artery, they are apparent only when very large (>8 cm) and symptomatic. A 96-year-old male presented with left lower extremity pain, swelling, and vascular compromise. Computed tomographic angiography revealed an actively rupturing distal superficial femoral artery aneurysm. The patient underwent prompt aneurysm excision with graft interposition and had a successful postoperative outcome. This case illustrates the critical role of imaging in establishing a definitive diagnosis and preventing mortality.

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