Limb Salvage in Two Cases With Unusual Reconstruction of the Profunda Femoris Artery and Reimplantation of a Large First Branch

Abstract

Two patients with complex histories of coronary artery disease and periph eral vascular disease underwent reconstruction of the common femoral, superfi cial femoral, and profunda femoris arteries after previously implanted prosthetic grafts had failed. In both cases, the diseased segment was removed, a new prosthetic graft was inserted, and the profunda femoris artery was recon structed, with reimplantation of its large first branch. This unusual approach may prove valuable in similar cases that do not lend themselves to traditional methods of repair.