450
Correspondence Atherosclerotic Aneurysm of the Deep Femoral Artery
nificantly higher than those with neither vein incompetent (p = 0.002). These results suggest that popliteal reflux is an important factor in the aetiology of venous ulceration, and that short saphenous reflux is not a major contributor to the pathogenesis of ulceration. This is to be expected since in the absence of popliteal incompetence the head of pressure exerted on the short saphenous system is small. Short saphenous ligation is therefore important only in cosmetic varices and merely acts as a marker of popliteal reflux in patients with stasis ulceration. S. P. K. Payne N. J. M. London W. W. Barrie
Sir, I was very interested to read the case report by Reher and Rutsaert on the subject of atherosclerotic aneurysm of the deep femoral artery. 1 While doing a recent right femoro-popliteal bypass graft, I came across the unexpected aneurysm of the deep femoral artery which was obliterated with thrombus. The patient had had a previous abdominal aortic aneurysm repair and the presence of this unexpected deep femoral aneurysm obviously complicated the subsequent femoro-popliteal bypass graft procedure. H. J. R Evans
Leicester, U.K.
Prince Philip Hospital, Llanelli, U.K.
Reference
Reference
1 ENGELAF, DAVIESG, KEEMANJN. Preoperative localisation of the saphenopopliteal junction with duplex scanning. Eur J Vasc Surg 1991; 5: 507-509.
I RELIER S, RUTSAERTR. Atherosclerotic aneurysm of the deep femoral artery. Eur J Vasc Surg 1992; 6: 226.
CORRESPONDENCE Letters to the editor on articles in the Journal are welcomed and should be sent to Mr R. N. Baird, Department of Surgery, Bristol Royal Infirmary,, Bristol BS2 8HW, U.K.
Eur J Vasc Surg Vol 6, July 1992
Correspondence Atherosclerotic Aneurysm of the Deep Femoral Artery
nificantly higher than those with neither vein incompetent (p = 0.002). These results suggest that popliteal reflux is an important factor in the aetiology of venous ulceration, and that short saphenous reflux is not a major contributor to the pathogenesis of ulceration. This is to be expected since in the absence of popliteal incompetence the head of pressure exerted on the short saphenous system is small. Short saphenous ligation is therefore important only in cosmetic varices and merely acts as a marker of popliteal reflux in patients with stasis ulceration. S. P. K. Payne N. J. M. London W. W. Barrie
Sir, I was very interested to read the case report by Reher and Rutsaert on the subject of atherosclerotic aneurysm of the deep femoral artery. 1 While doing a recent right femoro-popliteal bypass graft, I came across the unexpected aneurysm of the deep femoral artery which was obliterated with thrombus. The patient had had a previous abdominal aortic aneurysm repair and the presence of this unexpected deep femoral aneurysm obviously complicated the subsequent femoro-popliteal bypass graft procedure. H. J. R Evans
Leicester, U.K.
Prince Philip Hospital, Llanelli, U.K.
Reference
Reference
1 ENGELAF, DAVIESG, KEEMANJN. Preoperative localisation of the saphenopopliteal junction with duplex scanning. Eur J Vasc Surg 1991; 5: 507-509.
I RELIER S, RUTSAERTR. Atherosclerotic aneurysm of the deep femoral artery. Eur J Vasc Surg 1992; 6: 226.
CORRESPONDENCE Letters to the editor on articles in the Journal are welcomed and should be sent to Mr R. N. Baird, Department of Surgery, Bristol Royal Infirmary,, Bristol BS2 8HW, U.K.
Eur J Vasc Surg Vol 6, July 1992
