The Isolated True Saccular Aneurysm of the Superficial Femoral Artery Presenting with Blue Toe Syndrome

Isolated true aneurysm of the superficial femoral artery is a rare condition which can threaten the functions and viability of the lower extremities. Despite most of the cases are asymptomatic, the leading symptom is usually rupture, differently from the other peripheral artery aneurysms. They usually seem bilaterally or with accompanying other aneurysms. Here, we reported an isolated superficial femoral artery aneurysm admitted with “Blue Toe Syndrome”. 69 years old male patient admitted to the cardiovascular surgery clinic with bruising in his right 3th and 4th toes. An isolated saccular superficial femoral artery aneurysm of 33 mm with an arising muscular artery form the aneurysm in the Hunter`s Canal was detected with ultrasonography and computed tomography angiography. The patient hospitalized and underwent a successful elective aneurysm excision with graft interposition. Post-operative follow up of the patient was uneventful and he was discharged on the post-operative 5th day.Due to their asymptomatic nature in the early period, superficial femoral artery aneurysms can easily escape from attention unless they do not keep in mind. When they diagnosed, all symptomatic cases and even the asymptomatic ones with a critical enlargement should be operated or treated with endovascular techniques