Clinical case of surgical treatment of giant central anastomosis aneurysm after autovenous femoropopliteal bypass

Ahterosclerosis of vessels of the lower extremities is widely distributed in the population. Open surgical revascularization is an efficient method for treatment of this pathology. One of the rare postoperative complications is an anastomosis aneurysm development. We report about a clinical case of a 74-year-old male with a giant (25 cm in diameter) aneurysm of the proximal anastomosis after femoropopliteal bypass. Open aneurysmectomy was performed, and the postoperative period was uneventful.

Sequential coronary grafting

Sequential distal grafting is a surgical technique in which a single conduit has two or more distal anastomosis for a single proximal anastomosis; in situ sequential arterial grafts may have no proximal anastomosis. Proponents of this method suggest that there is increased total graft flow due to improved distal run-off in sequential grafts, which leads to better graft patency over time, and that sequential grafting is more efficient in terms of conduit use, and reduces the amount of aortic manipulation during surgery.