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August 1972

Multiple Arteriosclerotic Arterial Aneurysms

Author Affiliations

Ann Arbor, Mich
From the sections of general surgery, departments of surgery, University of Michigan Medical Center, and Veterans Administration Hospital, Ann Arbor.

Arch Surg. 1972;105(2):338-344. doi:10.1001/archsurg.1972.04180080184031

Among 1,488 patients with arteriosclerotic aneurysms of the abdominal aorta and its peripheral branches seen at the University of Michigan Medical Center from 1960 to 1971, 57 (3.9%) had multiple arteriosclerotic aneurysms. Multiple aneurysms occurred in 83% of patients who had at least one peripheral aneurysm. Among the 37 patients with a common femoral aneurysm, 95% had a second aneurysm, 92% had an aorto-iliac aneurysm, and 59% had bilateral femoral aneurysms. Among the 36 patients with a popliteal aneurysm, 78% had a second aneurysm, 64% had an aorto-iliac aneurysm, and 47% had bilateral popliteal aneurysms. The importance of suspecting a nonpalpable aorto-iliac aneurysm in the presence of a peripheral aneurysm, and the usefulness of arteriography are emphasized. Planned staged resection and careful followup are required to manage these patients successfully.