Although the surgical literature contains numerous reports on congenital anomalies of the aortic arch and of the pulmonary and splanchnic vessels, few studies have dealt with congenital anomalies of the arteries of the lower extremities. The early anatomical literature contains several descriptions of cadavers with congenital absence of the superficial femoral artery,1 but we have been unable to find a previous description of congenital atresia of the external iliac artery.
Report of Case
The patient, a white man aged 27, a brickmason, was first admitted to Grady Memorial Hospital in October, 1956, with a two-year history of progressive intermittent claudication involving the left calf. For six months preceding admission, cramps would develop in the left calf after walking one block, or after climbing one flight of stairs. There was no history of trauma, impotence, or surgery. The mother stated that his birth had been uncomplicated and without trauma. There