A 74 year old patient who had previously undergone several lower limb revascularisation procedures, underwent femorodistalpopliteal bypass and femoroprofunda bypass in 2007 for critical limb ischaemia. Fresh cadaverous saphenous vein graftswere used as the patient lacked suitable venous material.
The patient took daily doses of tacrolimus until 2012, when a leftnephrectomy was performed for renal carcinoma. In 2019 the patient was admitted with a large 50 mm venous allograftaneurysm.
Resection and patch reconstruction were performed and the patient was discharged after an uncomplicated post-operative course.