Abstract
We reported a rare case of surgical treatment of recurrent femoral artery aneurysm with arteriomegaly. The patient was a 45-year-old man who was suffering from swelling of his left leg, and intermittent claudication. He had a past surgical history by forming the arteriovenous fistula and pseudoaneurysm on the left leg eleven years ago. Preoperative CT angiography revealed arteriomegaly from the left common iliac artery to the superficial femoral artery with occluded common and superficial artery aneurysms. We performed left iliac artery-popliteal artery bypass, exclusion of superficial artery aneurysm. The postoperative course was uneventful and postoperative CT angiography showed good bypass flow and thrombotic occlusion of residual superficial femoral artery.