Bypass graft to the distal deep femoral artery (Hebrew)

The profunda femoris artery is a valuable collateral vessel in cases of superficial femoral artery obstruction. Atherosclerosis of this vessel is less common and it serves as an excellent outflow for revascularization of the ischemic leg. However, atherosclerosis of the profunda is not as rare as once thought. Simple proximal profundaplasty should not be used routinely. The artery should be examined at operation and if there are atherosclerotic plaques more distally, a bypass may be anastomosed to the profunda 15 to 20 cm from its outlet. A typical case is reported with arteriography before and after the vascular repair.