Lower extremity pain after sexual intercourse: a case report of embolization due to femorofemoral bypass graft occlusion.

We describe a case of recurrent thromboembolism to the femoral-popliteal circulation in a patient with prior femorofemoral bypass graft placement. Two separate embolic events occurred, each within a short time after sexual intercourse. Normal circulation to the lower extremity was restored via percutaneous laser-assisted balloon angioplasty, but the source of emboli was corrected surgically via removal of the occluded femorofemoral graft. We propose that distal thrombosis in a patient with prior femorofemoral bypass may indicate an occluded graft as a source of embolization; therefore, consideration should be given to removal of the graft.