Abstract
Multiple peripheral arterial aneurysms have been considered a relatively rare disease. A case is reported of a 70-year old man whose chief complaint was spontaneous pain in the right calf. Preoperative diagnosis by angiography and echography suggested bilateral common femoral and right popliteal aneurysms.
The bilateral common femoral arterial aneurysms were treated by excision and Cooley double velour prosthetic interposition for resected aneurysms. In addition, the right popliteal arterial aneurysm was treated by the use of autogenous saphenous vein bypass grafting from above the aneurysm to below, with ligation of the aneurysm to prevent further embolization. Pathological examination indicated atherosclerotic aneurysm. The patient has been well for more than four years after surgery.
Elective surgery is considered appropriate in the management of multiple peripheral arterial aneurysms when the surgical risk is reasonable, because of the high morbidity associated with femoral and popliteal arterial aneurysms.
