RESUMEN
Localized aneurysm of the deep femoral artery is an extremely rare disease. A case of arteriosclerotic aneurysm of the bilateral deep femoral artery was reported. A 72-year-old man complained of pulsatile masses in his abdomen and left groin. Radiologic studies revealed an abdominal aortic aneurysm and one of the left deep femoral artery. Proximal and distal ligation of the left deep femoral artery aneurysm and partial excision of the aneurysmal sac were performed without revascularization 2 weeks after the resection of his abdominal aortic aneurysm. Three years later, ligation and division of the right deep femoral artery aneurysm and reconstruction of blood flow were performed using a 6mm EPTFE prosthetic graft. The postoperative course was uneventful and histological findings revealed arteriosclerosis. The literature of the deep femoral artery aneurysm was briefly reviewed.