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Background/Aim. To promote better treatment outcome, as well as economic  benefit it is very important to find out patients with simultaneous  occurrence of both aortic and arterial aneurysms. The aim of this prospective  study was to determine the frequency and factors affecting femoropopliteal  (F-P) segment aneurysms appearance in patients with abdominal aortic  aneurysms (AAA). Methods. This study included 70 patients who had underwent  elective or urgent surgery of AAA from January 1, 2006 to December 31, 2007.  After ultrasonographic examination of F-P segment, all the patients were  divided into two groups - those with adjunctive F-P segment aneurysm (n = 20)  and the group of 50 patients with no adjunctive F-P segment aneurysm. In  both groups demographic characteristics (gender, age), risk factors (diabetes  mellitus, elevated serum levels of cholesterol and triglycerides, arterial  hypertension, smoking, obesity) and cardiovascular comorbidity  (cerebrovascular desease, ischemic heart desease) were investigated. Results.  Twenty (28.57%) patients who had been operated on because of AAA, had  adjunctive aneurysmal desease of F-P segment. Diabetes was no statistically  significantly more present among the patients who, beside AAA, had adjunctive  aneurismal desease of F-P segment (χ2 = 0.04; DF = 1; p > 0.05). Also, in  both groups there was no statistically significant difference in gender  structure (χ2 = 2. 05; DF = 2; p > 0.05), age (χ2 = 5. 46; DF = 1; p > 0.05),  total cholesterol level (χ2 = 0.89; DF = 1; p > 0.05) and triglyceride (χ2 =  0.89; DF = 1; p > 0.05) levels, the presence of arterial hypertension (χ2 =  1.38; DF = 2; p > 0.05), smoking (χ2 = 1.74; DF = 1; p > 0.05), obesity (χ2 =  1.76; DF = 1; p > 0.05) and presence of cerebrovascular desease (χ2 = 2.34;  DF = 1; p > 0.05). Conversly, ischemic heart desease was statistically  significantly more present among the patients who, beside AAA, had adjunctive  aneurismal desease of F-P segment (χ2 = 5.45; DF = 1; p < 0.05). Conclusion.  Twenty patients, beside AAA, had adjunctive F-P segment aneurysm. The results  of this study suggest the necessity of preforming ultrasonographic  examination of F-P segment in all patients with proven AAA

Appearance of femoropopliteal segment aneurysms in patients with abdominal aortic aneurysm