Endovascular Treatment of Isolated Degenerative Superficial Femoral Artery Aneurysm

Isolated degenerative superficial femoral artery (SFA) aneurysms are rare. One hundred forty-two cases are described in literature. Threshold for operative management varies in literature. In literature, only 10 cases are treated in an endovascular way. We present a case of a 77-year-old patient who presented with nonhealing wounds on the right foot. Duplex ultrasound revealed an isolated aneurysm of the SFA on the right side as a source of emboli. The patient was treated in an endovascular way with a covered stent graft. The procedure was complicated by embolization in the peroneal artery as a single outflow vessel. An overview of endovascular treatment of SFA aneurysms in literature is discussed.