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A 59 year old man who underwent a below knee venous femoropopliteal bypass 16 years
ago presented with a pulsatile suprapopliteal mass. Distal pulses were present. The
contralateral great saphenous vein had been ablated previously. Duplex ultrasound
showed a patent bypass with an above knee pseudoaneurysm with swirling flow, confirmed
by computed tomography angiography (A, arrow). The pseudoaneurysm was resected and
continuity restored by interposition of a tube graft manufactured from a bovine pericardial
patch (B, arrow). The post-operative course was uneventful with distal pulses present
at discharge.
A 59 year old man who underwent a below knee venous femoropopliteal bypass 16 years
ago presented with a pulsatile suprapopliteal mass. Distal pulses were present. The
contralateral great saphenous vein had been ablated previously. Duplex ultrasound
showed a patent bypass with an above knee pseudoaneurysm with swirling flow, confirmed
by computed tomography angiography (A, arrow). The pseudoaneurysm was resected and
continuity restored by interposition of a tube graft manufactured from a bovine pericardial
patch (B, arrow). The post-operative course was uneventful with distal pulses present
at discharge.
