The images show three-dimensional reconstructions of (A) a preoperative CT scan of abdominal aortic and common iliac aneurysms in which left external iliac occlusion with common femoral rehabitation is evident; and (B) the 2-month control CT scan. The patient was a 72-year-old male with 51 mm AAA, 36 mm right and 29 mm left common iliac artery aneurysms (CIAAs). Left femoral pulse was absent and CTA revealed corresponding external iliac artery (EIA) occlusion. Bilateral CIAAs, plus EIA occlusion excluded standard EVAR. Surgery was conducted through right femoral and left axillary access, and a bifurcated endograft was deployed. Subsequently, a branched iliac graft was positioned above the right iliac bifurcation. Internal iliac artery was then used as landing zone on the left side leaving the left EIA occlusion. The check CT scan showed complete aneurysm exclusion without endoleak.
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Publication history
Published online: October 16, 2015
Accepted:
September 15,
2015
Received:
August 5,
2015
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© 2015 European Society for Vascular Surgery. Published by Elsevier Inc.
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