Abstract
A 71-year-old man underwent exclusion and bypass of both popliteal artery aneurysms due to peripheral artery embolism. Persistent aneurysm sac perfusion was present after exclusion. Five years later, follow-up MRI showed pseudoaneurysms adjacent to the original aneurysm sacs. He also suffered from neuralgia with sciatic nerve compression by the excluded aneurysm sac. Aneurysm sac extirpation and ligation of collateral vessels were successfully performed.