Endovascular Stent Grafting of a Deep Femoral Artery Pseudoaneurysm

•Pseudoaneurysms (PSAs) of the deep femoral artery (DFA) that are uncommon and can occur as a complication of orthopedic procedure.•This report serves to highlight the need for an increased awareness for the possibility of PSA of the DFA in association with proximal femur fractures.•Early outcomes data from deep femoral profunda artery revascularization with covered stents indicate that the procedure is safe with low complication rates.

IntroductionPseudoaneurysms (PSAs) are uncommon, but can occur as a complication of orthopedic procedures, usually associated with femur surgery. This report describes successful management of a PSA of the deep femoral artery (DFA) with an endovascular stent graft.ReportThis case reports an injury that presented as a false aneurysm secondary to a fractured neck of femur, which was initially confused with hematoma. Imaging confirmed the diagnosis of PSA, and the decision was taken to implant an endovascular stent graft.DiscussionThe endovascular stent graft was implanted based on radiological, anatomical, and clinical parameters. This case supports the feasibility, safety, and efficacy of stenting for PSA of the DFA.