Abstract
A 63-year-old woman was referred to us because of ischemic pain in the left foot. An arteriogram showed a classic “string-of-beads appearance, involving the bilateral superficial femoral to popliteal arteries and bilateral internal carotid arteries. The left popliteal artery was occluded below the knee. Bilateral common iliac artery aneurysms measuring 6 cm on the left, 4 cm on the right were also found. Her iliac aneurysms were first successfully excised and reconstructed with a Y graft. After one month, her left leg ischemia was treated with reversed saphenous vein bypass from the femoral to the peroneal artery. With histological examination of the resected superficial femoral artery and the characteristic findings on angiography, her femoro-popliteal lesion was diagnosed as fibromuscular dysplasia.
