Abstract
A 58-year-old male was unable to walk because of progressive pain in both lower extremities that rapidly became cold and clammy. Femoral, popliteal and ankle pulses ware absent, and there was a pulsatile tumor in the abdomen. Abdominal CT showed an abdominal aortic aneurysm that measured 50mm in diameter. Aortogram revealed total infrarenal aortic occlusion. The patient underwent emergency aorto-bifemoral bypass with a bifurcated artificial graft. Several days after the operation, renal failure appeared because of MNMS. He was weaned from hemodialysis at one month and was discharged from hospital about 1 year after the operation.
