HighlightsWe report the case of a 84-year-old patient presenting a giant degenerative ruptured aneurysm of the superficial femoral artery. The patient was also operated one year before, for a ruptured aneurysm of the abdominal aorta.This case report is rare, because we described a case of patient with multiple atherosclerotic aneurysms, who present, for the second time, a life threating ruptured aneurysm.Our patient presented, two years before, six synchronic aneurysms without evidence of collagen vascular pathology despite a genetic screening.