PMC4790530_01
CT angiogram showing complete occlusion of left common femoral artery.. Abbreviation: CT, computer tomographic.
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CT angiogram showed complete occlusion of the left common femoral artery up to its bifurcation with normal runoff (Figure 1).
Left groin area showing scar of varicocelectomy (short arrow) and the course of left common femoral artery (long arrow).
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On February 7, 2015, through a left groin longitudinal incision, the left common femoral artery was controlled with vessel loops (Figure 2).
Left groin exposure with the left common femoral artery (white arrow) and its bifurcation (yellow arrow) controlled with vessel loops and complete loss of arterial structure in between (green arrow).
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Upon dissection, the femoral artery was observed to be completely destroyed, with no anatomical configuration except for fragments of the wall (Figure 3).
Left saphenous vein interposition graft (green arrow) anastomosed to the left common femoral artery (white arrow) and its bifurcation (yellow arrow).
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A reversed interposition saphenous graft between the left common femoral artery and its bifurcation was performed (Figure 4).