1999 Volume 60 Issue 5 Pages 1402-1405
A 46-year-old man was admitted to the hospital because of coldness of the foot and toe. There was previous histories of undergoing a femoro-infrapopliteal bypass grafting with a reversed autogenous saphenous vein for Beuger disease of the right lower limb 8 years before, and of being diagnosed as having an asymptomatic graft aneurysm one year before admission which was followed without surgical treatment. This time, his symptom were caused by emboli from an intraluminal floating thrombus formed in the graft aneurysm. Finally patient underwent an alteration of femoro-popliteal bypass with a new reversed saphenous vein. Chronic outforce at the knee junction might cause the graft aneurysm in this rare case.