Akca, BarisErdil, Nevzat2026-04-042026-04-0420242667-663Xhttps://doi.org/10.4328/ACAM.22194https://hdl.handle.net/11616/108379This case presents the management of a morbidly obese risky patient operated for extensive aneurysmatic varicose veins with a history of Bentall procedure for giant ascending aortic aneurysm of 14 cm. The patient had complaints of swelling, discoloration, heaviness, and night cramps in both legs. Physical examination revealed bilateral huge aneurysmatic varicose veins extending medially to knee level, prominent in the anteromedial aspect of both thighs which causes sagging of skin. The patient was using warfarin, and continuous reflux was revealed on left great saphenous vein. No reflux was revealed on the right side. Sequential surgery of legs was performed with 6-month interval starting from the right side. Following an in-hospital preparation period, extensive aneurysmatic dilatations were removed from the skin of both legs, and plastic reconstruction was performed to close the skin incisions. High-risk patients considered inoperable due to comorbidities can treated with detailed preoperative evaluation, good surgical planning and close postoperative follow-up strategy.eninfo:eu-repo/semantics/openAccessObesityMorbidVaricose VeinsWarfarinAortic AneurysmArticle1510.4328/ACAM.22194WOS:001413459700009Q40000-0002-8275-840X