The development of an aneurysm in an in situ bypass has not been reported to date in the major series of in situ bypasses. A review of the English literature did reveal one other report of an aneurysm developing following an in situ bypass. In this report, we describe a sixty-seven-year-old woman with a true aneurysm that developed in an in situ greater saphenous vein bypass six years after implantation.
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