Abstract
Popliteal artery aneurysms represent the most frequently encountered aneurysm within the peripheral vasculature. We encountered a case of thrombosed popliteal artery aneurym with severe tibial arterial calcifications satisfactorily treated by femoro-paramalleolar bypass. A 58-year-old man presented with claudication of the right leg and coldness of the toes. Resection of the occluded popliteal aneurysm and femoro-paramalleolar bypasses were performed in sequential fashion. When severe calcifications of the tibial arteries exist, distal bypass should be performed if the arteries of the paramalleolar region are intact.
