Vasc Spec Int.  2017 Sep;33(3):117-120. 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

Affiliations
  • 1Division of Cardiology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. jinho@eulji.ac.kr

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.

Keyword

Aortic aneurysm; Acute limb ischemia; Stent graft

MeSH Terms

Aged
Aortic Aneurysm*
Aortic Aneurysm, Abdominal
Blood Vessel Prosthesis*
Extremities
Humans
Iliac Artery
Ischemia
Stents*
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