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March 1970

Diffuse Aneurysmal Degeneration of the Femoropopliteal Artery

Author Affiliations

St. Louis
From the departments of surgery and pathology, St. Louis University, St. Louis.

Arch Surg. 1970;100(3):299-301. doi:10.1001/archsurg.1970.01340210075018

Atherosclerotic aneurysm of the Lpopliteal artery is a well-recognized clinical entity, while aneurysm is uncommon in the femoral artery and rare in the superficial femoral artery. We have found only one report1 of diffuse aneurysmal degeneration of the femoropopliteal artery, and for this reason the following case is being reported.

Report of a Case  Ten weeks prior to admission, this 63-year-old white man noted a pulsatile mass in the proximal left thigh. Subsequently, he noted pulsatile masses in both inguinal areas and, because of some discomfort in the left thigh, he sought medical attention. Intermittent claudication had not been noted. He had been hospitalized two years previously with a diagnosis of myocardial infarction.The patient entered Firmin Desloge Hospital with a blood pressure of 150/90 mm Hg, a pulse rate of 80 beats per minute, and a temperature of 98.6 F (37 C). The physical examination was unremarkable except

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