Abstract
A 60-year-old male who had a history of receiving multiple vascular surgeries, including aorto-bifemoral bypass (ABF) for Leriche syndrome at the age of 32, redo arterial reconstruction for acute arterial thrombosis in the right rim of ABF graft at the age of 55, and endovascular aneurysm repair (EVAR) for pseudoaneurysm formed at the proximal anastomosis at the age of 56. He was admitted to our department, complaining of the enlarged pulsatile mass in the right groin at the age of 60, and was diagnosed with aneurysmal dilatation of the right rim of ABF graft. Intraoperative findings revealed the anterior wall of the prosthetic rim was completely destroyed, and covered with the surrounding tissues. Graft replacement of the right rim of ABF graft with the uses of ePTFE graft along with wrapping the remaining rim, including the clamp site was performed for the prevention of aneurysmal redilatation of the old conduit. He was discharged home 10 days after surgery. Performance of imaging evalutation on a regular basis from now on is considered to be imperative to diagnose the aneurysnal dilatation of prostheis caused by its structual deterioration.
