Bilateral profunda femoris artery and left common femoral artery aneurysms presenting as lower limb ischemia.

We report a rare case of bilateral profunda femoris artery aneurysms (PFAAs) and a left common femoral artery aneurysm (CFAA) presenting as lower limb ischemia. An 84-year-old man presented with a sense of coldness and intermittent claudication of his left lower limb. Ultrasonography and computed tomography angiography showed bilateral PFAAs, a left CFAA, and an occlusion of the left popliteal artery. Thrombectomy of the left popliteal artery, exclusion of the bilateral PFAAs, replacement of the left CFAA, and bypass grafting of the right profunda femoris artery were performed. The patient had an uneventful postoperative course and was discharged from hospital on the postoperative day 14.