Work

Aortoprofunda and internal iliac bypass in open repair of abdominal aortic aneurysm with aortoiliac occlusive disease

Year: 2025

Type: article

Abstract: An 83-year-old man with prior coronary bypass and iliac stenting presented with bilateral claudication. Ankle-brachial indices were immeasurable. Computed tomography revealed an infrarenal abdominal aortic aneurysm and bilateral iliac occlusion with severe calcification, while runoff depended on profunda femoris collaterals. Open repair was performed with infrarenal aortic replacement using a three-branched graft to the right internal iliac and bilateral profunda femoris arteries. Postoperatively, ankle-brachial indices improved to 0.58/0.57, imaging confirmed graft patency, and symptoms resolved. This case highlights profunda femoris and internal iliac arteries as effective outflow targets when conventional aortobifemoral bypass is not feasible.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1020

Authors: Yuki Akaguma, Hideki Tsubota, Masanori Honda, Masafumi Kudo, Hitoshi Okabayashi

Institution: Mitsubishi Kyoto Hospital

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000