case_images: PMC6579521_01
case_images: Swelling in the left mid thigh (a) and signs of distal microembolization (b).
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case_images: The left lower limb was well-perfused, but there was ecchymosis and a pulsatile swelling between the mid and distal thirds of the thigh, in the anteromedial region ( Figure 1 a). Inspection of the left foot also revealed signs of distal microembolization ( Figure 1 b) and popliteal and distal pulses were absent. 
case_images: Ultrasonographic appearance of the femoral artery aneurysm.
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case_images: SFA measuring 5.8 x 5.3 cm and with associated mural thrombi and perivascular accumulations compatible with a ruptured aneurysm ( Figure 2 ). Since angiotomography was not available at the service providing care, the decision was taken to perform emergency surgical treatment. 
case_images: Intraoperative images showing the ruptured femoral artery aneurysm, dissected with proximal and distal repair (a, b); Interposition of the reversed great saphenous vein (c).
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case_images: PMC6579521_01_jvb-18-e20180113-g03-en.jpg
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case_images: Once this had been removed, the ruptured SFA aneurysm could be seen ( Figures 3 3b). Revascularization of the limb was then accomplished by interposition of the contralateral great saphenous vein in reverse, with end-to-side anastomosis - taking into consideration the diameter of the femoral artery and the significant destruction of its walls, as illustrated in Figure 3 c.