Abstract
A 61-year-old man presented with disabling short distance left lower extremity claudication. Surgical history was significant for an emergency laparotomy, bowel resection, temporary colostomy, external iliac artery ligation and right to left cross-femoral graft for damage control after a gunshot injury in 1982. This graft occluded a year later, and he underwent an ileo-femoral interposition graft. Progression of peripheral arterial occlusive disease (PAD) necessitated a left femoral endarterectomy with profundoplasty and superficial femoral artery stenting 20 years later.
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