Aorto-Femoral Teflon Grafts

Clinical History

A 72 year old man with a six year history of peripheral vascular disease presented with claudication, rest pain, an ischaemic ulcer over the left lateral malleolus and early gangrene of the 3rd left toe. No peripheral pulses below the femorals were palpable. A bilateral aorto-femoral graft was inserted but was complicated by right femoral artery thrombosis resulting in a right below knee amputation.


The specimen consists of the lower abdominal aorta, both common, external and internal iliac arteries and both femoral arteries. The right external iliac and femoral arteries have been opened to demonstrate thrombus occluding the lumen.