Giant Infrarenal Abdominal Aortic Aneurysm Treated With Elective Endovascular Repair Using an Anaconda Bifurcated Device: A Case Report
Year: 2026
Type: article
Study design: Case Report
Abstract: Giant abdominal aortic aneurysms (GAAAs) are extremely uncommon and carry a markedly increased risk of rupture. Their complex anatomy presents significant challenges for surgical management. Endovascular aneurysm repair (EVAR) has emerged as an increasingly utilized alternative in appropriately selected patients with favorable anatomy. We present the case of a 72-year-old male presenting with a non-ruptured, 12.8 cm infrarenal fusiform GAAA, successfully managed with elective EVAR using an Anaconda LoPro90 trimodular bifurcated endograft system (Terumo Aortic, Inchinnan, Scotland). We describe the clinical and radiologic features, technical approach, intraoperative challenges, and 10-month follow-up. EVAR using a bifurcated Anaconda endograft is a feasible and safe option for anatomically suitable GAAA patients, even in the presence of complex features such as angulated necks and iliac involvement. Further studies are warranted to establish long-term durability and optimal management protocols for GAAA.
Source: Cureus
Authors: Oscar F Vargas, Juliana Salcedo-Mesa
Institution: Hospital Departamental de Villavicencio
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7153234463