Patients 73 years old man, was admitted to the Hospital with acute ischaemia of the left lower limb, pain started 4 days ago. Ultrasound investigation and lower limbs angiography were performed. Giant infrapopliteal aneurysm and thrombosis due to massive embolism of the crural and pedal arteries' was revealed. In order to keep the limb, urgent surgical treatment--popliteal aneurysm ligation and foot venous system arterialisation was performed. Urgent venous arterialisation may be considered as viable alternative in patients with limb acute ischaemia, when arterial reconstruction is impossible to perform. In our case improvement of the foot perfusion during 8 days increases the interest to this technique.
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