A 75-year-old patient with severe comorbidities was treated with an Endurant® (Medtronic, USA) II endograft due to a ruptured abdominal aortic aneurysm (AAA). After four years of unremarkable follow-up, bilateral limb separation was detected. The patient underwent endovascular bridging without any complication. Although rarely detected in newer grafts, late bilateral type IIIa endoleaks can present and should be promptly repaired. Complex or ruptured AAAs treated with off-label use of endografts should be under closer surveillance using imaging tools for potential endoleaks or aneurysm sac growth.
Aged ; Aneurysm ; Aortic Aneurysm, Abdominal ; Comorbidity ; Endoleak* ; Endovascular Procedures ; Extremities* ; Follow-Up Studies ; Humans ; Off-Label Use ; Retreatment ; Transplants

We report an unusual case of an 83-year-old man who was admitted with dizziness and repeated drop attacks. He was diagnosed with bilateral carotid artery occlusion and he underwent a left subclavian to left carotid bypass with ringed polytetrafluoroethylene graft. The patient's postoperative course was uneventful and no symptoms presented during a 6-month follow-up. Finally, we discuss on proper management of such patients.
Aged, 80 and over ; Carotid Arteries ; Carotid Artery Diseases ; Carotid Artery, Common ; Carotid Artery, Internal ; Dizziness ; Follow-Up Studies ; Humans ; Pathology ; Polytetrafluoroethylene ; Syncope ; Transplants ; Vertebrobasilar Insufficiency