Congenital Anomaly of the Iliofemoral Artery Atresia and Hypoplasia: A Case Report

A 69-year-old female manager of an apparel store with a hobby of ballroom dancing presented to our hospital with increasingly fatigued legs while commuting to work or during dancing. A thorough examination revealed right iliac artery atresia, left iliac artery hypoplasia, and bilateral superficial femoral artery atresia. Thus, bilateral iliac artery/common femoral artery bypass surgery was performed, which consequently improved the patient’s symptoms. Congenital malformations of the iliofemoral artery are extremely rare. Although there are many case reports of residual sciatic artery malformations, very few cases of isolated complete absence/hypoplasia have been reported.