Synchronous Endobypass of Bilateral Superficial Femoral Artery Aneurysms (After Bilateral Popliteal Aneurysm Bypass Surgery) Using Heparin-Bonded Stent-Grafts

Abstract

Introduction: Bilateral superficial femoral artery aneurysms are a rare entity, managed here via a synchronous endovascular approach. Report: An 84-year-old male presented with bilateral peri-anastomotic superficial femoral artery aneurysms 3 years after femoropopliteal bypass for bilateral popliteal aneurysms. He underwent successful synchronous bilateral endobypass using overlapped 13 × 100 mm (proximal) and 11 × 100 mm (distal) heparin-bonded endoprostheses. Discussion: Calibre mismatch between ectatic vessel and narrower vein graft may be related to peri-anastomotic aneurysm formation in a patient who has a predilection for aneurysm formation. Bilateral superficial femoral artery aneurysms can be managed by synchronous endobypass with the attendant benefits of avoiding repeat admission/anaesthetic episodes.