SUCCESSFUL TREATMENT OF BILATERAL DEEP FEMORAL ANEURYSMS AND MULTIPLEILIAC ANEURYSMS ASSOCIATED WITH SEVERE AORTIC-VALVE DISEASE - REPORT OF A CASE

We report herein the case of a patient in whom aneurysms of the bilate ral deep femoral arteries (DFA) and multiple iliac aneurysms associate d with severe aortic valve disease were successfully treated by a two staged operation, The patient was a 74-year-old man who had dense calc ification of the ascending aorta and aortic arch. Prior to aortic valv e replacement (AVR), the aneurysms of the DFA and internal iliac arter ies were resected, The terminal end of the abdominal aorta and bilater al common iliac arteries were then reconstructed with a Y graft to be used as a possible alternative arterial input route in place of the as cending aorta for extracorporeal circulation during the AVR. The infer ior mesenteric artery (IMA) was well developed, and the external iliac arteries and their branches were preserved at aneurysmectomy. Postope ratively, there was no ischemia of the pelvic organs or the hip muscle s. The AVR,vas subsequently performed 5 weeks after the first operatio n, and the patient was discharged after an uneventful postoperative co urse.