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Coronal contrast-enhanced computed tomography image of the aneurysms of the right common femoral artery and both common iliac arteries.
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In addition, the external iliac arteries were highly tortuous and small in caliber (Figure 1).
Three-dimensional reconstruction of the aneurysms.
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Operative findings confirmed that the aneurysm extended from the common femoral artery to the proximal parts of the deep and superficial femoral arteries (Figure 2).
Intraoperative photograph showing the aneurysm extending from the common femoral artery to the proximal deep femoral artery and the superficial femoral artery. This was a Type II aneurysm according to the Cutler and Darling classification.
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Then, the patient underwent aneurysmectomy, placement of a knitted Dacron Y graft, and reconstruction of the superficial and deep femoral arteries (Figure 3).
This picture shows graft placement with a knitted Dacron Y graft. A second (10-mm) Dacron graft was anastomosed to the first in an end-to-side configuration to create an access point for planned endovascular repair.
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Another, 10-mm Dacron graft was anastomosed to the body of the Y graft in an end-to-side configuration to create an access point for planned endovascular repair of the iliac aneurysms (Figure 4).