Total endovascular repair of a common femoral artery aneurysm with a bifurcated endograft through a single ipsilateral approach

Aneurysms of the common femoral and profunda femoris arteries are rare. Open surgical repair is the treatment of choice, even though hybrid and total endovascular repair with stent graft placement are reported in the literature. We describe a case of a successful total endovascular repair of a common femoral aneurysm extending to the profunda femoris with a bifurcated abdominal endograft placed in the common femoral artery with distal landing in profunda femoris and superficial femoral artery to preserve flow in both arteries. Endovascular repair of common femoral artery aneurysms with bifurcated endografts is a feasible alternative in complex anatomies.