Vascular Specialist International  2017;33(3):117-120

doi:10.5758/vsi.2017.33.3.117

Aorto-Uni-Iliac Stent Grafting and Femoro-Femoral Bypass in a Patient with a Failed and Catastrophic Endovascular Aortic Aneurysm Repair.

Wonho KIM 1 ; Min Suk CHOI ; Jin Ho CHOI

Affiliations

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Keywords

Aortic aneurysm; Acute limb ischemia; Stent graft

Country

Republic of Korea

Language

English

Abstract

A 78-year-old man presented at Eulji University Hospital due to an abdominal aortic aneurysm with maximum diameter of 52 mm, which had been increased from 45 mm over 6 months. He underwent embolization of the left internal iliac artery with vascular plug, prior to endovascular abdominal aortic repair with a bifurcated stent graft system. Unfortunately, the inserted vascular plug was maldeployed and protruded into left external iliac artery, and caused acute limb ischemia. Because revascularization of the occluded segment was failed, emergent hybrid approach with aorto-uni-iliac stent grafting and femoro-femoral bypass was done, successfully.