True Popliteal artery aneurysm is the most common of all the peripheral artery aneurysms. We present a case of proximal popliteal artery aneurysm involvement both lower limb presented with gangrene in one lower limb and incapacitating claudication pain on the other lower limb. We have successfully repaired both sides aneurysm in the same sitting with Poly Tetra Fluro Ethylene (PTFE) graft, as the patient also had multiple venous perforatorsÂ’ involvement on both sides, which left us only with synthetic graft repair option rather than venous graft repair.
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