Complex reconstruction of the terminal aorta with simultaneous femoral-tibial bypass grafting in a patient with critical limb ischemia and multilevel atherosclerotic disease (case report)

• Igor I. Zatevakhin
• Aleksei M. Frantzevich
• Aidar Kh. Mustafin
• Vladimir N. Shipovskiy
• Ivan Yu. Bogomazov
• Stanislav S. Korzunov

Abstract

Presented herein is a clinical case concerning a hybrid approach to the treatment of a 67-year-old patient with terminal abdominal aortic stenosis and prolonged occlusion of the femoral-popliteal segment of the left lower limb with the development of stage 4 chronic limb ischemia.

The patient underwent a hybrid surgical procedure: complex endovascular reconstruction of the terminal aorta and iliac arteries (CERAB) with simultaneous left-sided autovenous femoral-tibial bypass grafting with good immediate and medium-term results.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Zatevakhin I.I., Mustafin A.Kh., Frantsevich A.M.; data collection and handling – Bogomazov I.Yu., Korzunov S.S.; draft manuscript preparation – Mustafin A.Kh., Frantsevich A.M.; manuscript revision – Shipovsky V.N.

For citation: Zatevakhin I.I., Frantsevich A.M., Mustafin A.Kh., Shipovsky V.N., Bogomazov I.Yu., Korzunov S.S. Complex reconstruction of the terminal aorta with simultaneous femoral-tibial bypass grafting in a patient with critical limb ischemia and multilevel atherosclerotic disease (case report). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (1): 157–63. DOI: https://doi.org/10.33029/1027-6661-2025-31-1-157-163

Keywords: complex endovascular reconstruction of aortic bifurcation (CERAB); occlusive-stenotic lesion of the terminal aorta; femoral-tibial bypass grafting; multilevel atherosclerotic disease; critical limb ischemia