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Peer-reviewedCC BYCureus

Floating Atheromatous Plaque in the Common Femoral Artery: A Rare Case With Implications for Diagnosis and Management.

  • Julian M Paione Oleszuk1
  • Mohammad Ghasemi2
  • Jens Achenbach2
  • Clara Edith Engel3
  • Zoran Rancic4
4 affiliations
  1. 1Vascular Center, Lachen Hospital, University Hospital Basel, Basel, CHE.
  2. 2Vascular Center, Lachen Hospital, Lachen, CHE.
  3. 3Department of Surgery, Lachen Hospital, Lachen, CHE.
  4. 4Vascular Center, Lachen Hospital, University of Zurich, Zürich, CHE.
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Abstract

Floating plaques are well recognized in the carotid artery but are rarely described in the femoral circulation. We present the case of a 73-year-old man with advanced peripheral arterial disease and features of chronic limb-threatening ischemia, including chronic left foot ulceration with a non-healing second-toe ulcer with exposed bone, in the background of prior transmetatarsal amputations and delayed wound healing. A mobile plaque was identified in the left common femoral artery on dynamic B-mode ultrasound, whereas computed tomography angiography showed eccentric calcified stenosis without a definite floating component. The patient underwent femoral endarterectomy with patch repair, and histology confirmed a ruptured calcified atheromatous plaque. Recovery was uneventful, and 12-month follow-up showed no restenosis. This case highlights the diagnostic value of dynamic B-mode ultrasound for detecting mobile femoral atheromatous lesions.

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Cite

BibTeXRIS
BibTeX
@article{oleszuk2026floating,
  title = {{Floating Atheromatous Plaque in the Common Femoral Artery: A Rare Case With Implications for Diagnosis and Management.}},
  author = {Julian M Paione Oleszuk and Mohammad Ghasemi and Jens Achenbach and Clara Edith Engel and Zoran Rancic},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117624},
  url = {https://europepmc.org/article/MED/42999905},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Floating Atheromatous Plaque in the Common Femoral Artery: A Rare Case With Implications for Diagnosis and Management.
AU  - Julian M Paione Oleszuk
AU  - Mohammad Ghasemi
AU  - Jens Achenbach
AU  - Clara Edith Engel
AU  - Zoran Rancic
PY  - 2026
DA  - 2026/10/08
JO  - Cureus
DO  - 10.7759/cureus.117624
UR  - https://europepmc.org/article/MED/42999905
AB  - Floating plaques are well recognized in the carotid artery but are rarely described in the femoral circulation. We present the case of a 73-year-old man with advanced peripheral arterial disease and features of chronic limb-threatening ischemia, including chronic left foot ulceration with a non-healing second-toe ulcer with exposed bone, in the background of prior transmetatarsal amputations and delayed wound healing. A mobile plaque was identified in the left common femoral artery on dynamic B-mode ultrasound, whereas computed tomography angiography showed eccentric calcified stenosis without a definite floating component. The patient underwent femoral endarterectomy with patch repair, and histology confirmed a ruptured calcified atheromatous plaque. Recovery was uneventful, and 12-month follow-up showed no restenosis. This case highlights the diagnostic value of dynamic B-mode ultrasound for detecting mobile femoral atheromatous lesions.
SN  - 2168-8184
ER  -