Abstract
Background: Acute arterial emboli of the bilateral lower extremities caused by an aortic aneurysmal thrombus are rare. Case: A 77-year-old man was admitted our hospital because of bilateral lower leg pain at rest. We diagnosed the case as atherothromboembolism of the lower legs, which had originated from an abdominal aortic aneurysm and bilateral common iliac aneurysms. Results: A graft replacement was performed to remove the embolic source on the 16th day after the onset. As a result of careful dissection and clamping and the use of some devices in anastomosis and declamping, his postoperative course was uneventful. He was discharged on the 14th day after the operation. Conclusion: Acute arterial emboli of the bilateral lower extremities caused by an aortic aneurysmal thrombus are rare, but this should be taken into consideration as one possible cause.
