Aneurysms are commonly lined with thrombus and may be missed on arteriography. Ultrasound or CT is better to accurately determine size. This plaque produced sufficient narrowing to cause symptoms of claudication and diminished femoral pulses. It was treated by endarterectomy. Classically, this will cause Leriche syndrome - thigh and buttock claudication, loss of femoral pulses, and impotence.
Treatment is aortobifemoral bypass grafting.
Stenosis of the left renal artery. May present as renovascular hypertension. Diffuse atherosclerotic disease of the superficial femoral artery in the region of the adductor canal. Disease at this level produces calf claudication. Assuming that the distal circulation is intact, this would commonly be treated by femoropopliteal bypass grafting.