Introduction: Endovascular treatment of aneurysms in the superficial femoral artery (SFA) and popliteal segments is a suggested alternative to open surgical repair. Careful selection of patients for endovascular treatment of SFA aneurysms is mandatory.
Presentation of case: A complication due to endovascular stent-graft treatment in an 80-year old male with a 6 cm aneurysm in the SFA is presented. Hygroma developed after a partially unintended extravascular placed stent-graft. Two consecutive explorations resulted in a femoro-popliteal Polytetrafluoro-ethylene (PTFE) by-pass graft as the final solution.
Discussion: Several explanations for the patient's complications are suggested.
Conclusion: A primary femoral-femoral/popliteal by-pass might be the best solution in SFA aneurysms due to risk of stent complications.
Keywords: Aneurysm; Bypass; Endovascular; Hygroma; Superficial femoral artery.
Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.