PMC5697584_01
Preoperative view of thrombosed saphenofemoral junction (SFJ) aneurysm: (a) supine and (b) upright.
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Physical exam was unremarkable except local status, where a 6-cm globular, partially-compressible, painful lump was determined under the left inguinal ligament (Figure 1(a) and (b)).
Intraoperative view of saphenofemoral junction (SFJ) aneurysm: (a) rubber band control of common femoral vein (CFV), external iliac vein (EIV) and greater saphenous vein (GSV). (b) Resected 6-cm aneurysm specimen, with clot inside. (c) Microscopic view: intimal thickening/medial hypertrophy.
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GSV was set on rubber band distal to the aneurysm (Figure 2(a)). Afterward, the rubber bands were released and the aneurysm was fully excised (Figure 2(b)).