A 74-year-old man presented with right leg pain, motor paralysis, and hypoesthesia. The patient was hypotensive and had atrial fibrillation. Contrast-enhanced CT revealed a 56-mm ruptured right popliteal artery aneurysm. Upon clinical examination, the right leg exhibited a tense compartment with severe tenderness. Therefore, fasciotomy of the right lower limb was performed before surgery. Using a posterior approach, we resected the aneurysm and performed graft interposition using the great saphenous vein. Postoperative ultrasonography confirmed graft patency. Two years later, the patient showed no symptoms of limb ischemia with a patent bypass.

Twenty-six year old female patient was transferred emergency room complaining right chest pain and back pain followed be unconscious. Right intrathoracic bleeding and right subclavian artery sac aneurysm rupture were suspected from the CT findings. The endovascular management (covered stent graft deployment) was performed via right brachial artery. The patient’s postoperative course was noneventful and the genetic analysis revealed COL3A1 gene mutation and confirmed vascular type Ehlers-Danlos syndrome (vascular type EDS). Endovascular therapy is theoretically optimal strategy avoiding suture for vascular type EDS however, long-term meticulous follow up is mandatory.