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CC BY 4.0 · Aorta (Stamford) 2020; 08(02): 041-045
DOI: 10.1055/s-0040-1702142
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Unique Indication for the Altura Endograft to Repair Bilateral Common Iliac Artery Aneurysms Associated with a Short–Infrarenal Aorta

Stavros K. Kakkos 
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Chrysanthi P. Papageorgopoulou 
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Konstantinos Katsanos
2   Department of Radiology, University of Patras Medical School, Patras, Greece
,
Peter Zampakis 
2   Department of Radiology, University of Patras Medical School, Patras, Greece
,
Athina Siampalioti
3   Department of Anesthesiology and Intensive Care, University of Patras Medical School, Patras, Greece
,
Ioannis Ntouvas
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Chrysanthi-Helen Loizou 
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Eleni Tsamantioti
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Spyros Papadoulas
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Konstantinos M. Nikolakopoulos
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
,
Anastasia Kouri
1   Department of Vascular Surgery, University of Patras Medical School, Patras, Greece
› Author Affiliations Funding None.
Further Information

Publication History

09 February 2019

18 December 2019

Publication Date:
31 July 2020 (online)

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Abstract

A 71-year-old man with end-stage renal disease on hemodialysis presented with bilateral common iliac artery aneurysms diagnosed during the workup of his chronic kidney disease. On computed tomography angiography, common iliac artery aneurysm diameters measured 6.1 cm on the right side and 3.1 cm on the left side. The infrarenal aorta also had a small 3.2-cm aneurysm, but the length from the lowest left renal to the aortic bifurcation was only 6.7 cm, precluding use of most bifurcated endografts. Following an uneventful staged preoperative internal iliac artery embolization, a two-piece D-shaped Altura endograft for the aorta, with bilateral iliac components, landing at the level of the external iliac arteries was successfully performed. Postoperative course was uneventful with no endoleak or endograft migration on computerized tomographic angiography 45 days later, although billowing mimicking an endoleak was evident and will be closely followed.

Keywords

iliac artery aneurysm - endograft - embolization
 

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