A study was made of femoral aneurysms occurring in 89 patients from 1950 through 1963. True aneurysms were bilateral in 36% of the patients and multiple in 69%; associated aneurysms involved the popliteal and iliac arteries and the abdominal aorta. Complications were primarily passive venous congestion and occlusive arterial disease. Forty-four of the 89 patients were not considered surgical candidates, often because associated disease made the risk prohibitive. The remaining 45 patients underwent 52 operations. Elective surgery is considered appropriate in the management of femoral-arterial aneurysms when they are of significant size, when the surgical risk is reasonable, and when distal vessels provide sufficient run-off to maintain patency of the graft.
Pappas G, Janes JM, Bernatz PE, Schirger A. Femoral AneurysmsReview of Surgical Management. JAMA. 1964;190(6):489–493. doi:10.1001/jama.1964.03070190009002