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A Novel Hybrid Device for Avoiding Redo Surgery in Synchronous Iliac and Femoral Peri-anastomotic Pseudo-aneurysmsDepartment of Vascular Surgery, Westmead Hospital, Westmead, New South Wales, Australia, ramonvarcoe{at}yahoo.com
Department of Vascular Surgery, Westmead Hospital, Westmead, New South Wales, Australia
Department of Vascular Surgery, Westmead Hospital, Westmead, New South Wales, Australia
Department of Vascular Surgery, Westmead Hospital, Westmead, New South Wales, Australia Synchronous peri-anastomotic pseudo-aneurysms were discovered in a 65-year-old man 26 years after an aorto-bi-iliac bypass and 11 years after an ileo-femoral bypass. He was a poor surgical candidate owing to his obesity, hostile abdomen, and multiple medical comorbidities. Therefore, a novel hybrid device was designed that was part stent graft with the addition of two 6-mm Dacron limbs for anastomosis onto the superficial femoral and profunda femoris arteries. An unexpected type 2 endoleak developed through the internal iliac artery, which was thought to be occluded. This was successfully treated with a direct injection of bovine thrombin. This was an excellent outcome, and the patient made an uneventful recovery.
Key Words: pseudo-aneurysm • hybrid • stent graft
This version was published on January
1, 2009 Vascular and Endovascular Surgery, Vol. 42, No. 6,
579-582 (2009) |
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