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3 . 2025

Endovascular treatment of paraprosthetic false aneurysm of the proximal anastomosis after aortobifemoral repair for an abdominal aortic aneurysm

Abstract

Presented herein is a clinical case concerning endovascular surgical treatment of a male patient having developed a paraprosthetic pseudoaneurysm of the proximal anastomosis 2 years after previously performed aortofemoral bifurcation repair for an infrarenal abdominal aortic aneurysm.

The preoperative preparation was followed by endovascular prosthetic repair of the false aneurysm of the proximal anastomosis in the juxtarenal portion of the aorta. The postoperative period was uneventful with no complications, and the patient was discharged in a satisfactory condition on POD 9. During the period of follow-up in the hospital and at the outpatient stage 20 months, he reported no complaints, leading an active lifestyle. The control contrast-enhanced multislice computed tomography at 12 months after stent graft implantation revealed that the pseudoaneurysm was excluded from the circulation, with the visceral arteries contrasted satisfactorily. This clinical case demonstrates a significant progress in relation to minimally invasive treatment of complications of open surgical interventions on the abdominal aorta.

Keywords: aortobifemoral repair; pseudoaneurysm; endovascular treatment; stent graft; fenestrated endograft

Funding. The study no financial support.

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

Authors’ contribution. Study conception and design – Maistrenko D.N., Generalov M.I.; data collection and handling – Andreev K.A., Akhmedov T.M., Bulgakov D.D.; statistical processing – Andreev K.A.; manuscript preparation – Andreev K.A., Akhmedov T.M.; manuscript revision – Kokorin D.M., Ivanov A.S., Oleshchuk A.V.

For citation: Generalov M.I., Andreev K.A., Akhmedov T.M., Bulgakov D.D., Kokorin D.M., Oleshchuk A.V., Ivanov A.S., Maistrenko D.N. Endovascular treatment of paraprosthetic false aneurysm of the proximal anastomosis after aortobifemoral repair for an abdominal aortic aneurysm. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (3): 137–44. DOI: https://doi.org/10.33029/1027-6661-2025-31-3-137-144

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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