Modified adaption of iliac branch endografts in rare congenital anomaly of proximal origin of bilateral internal iliac arteries

Takuro Shirasu; Atsushi Akai; Manabu Motoki; Masaaki Kato

doi:10.1016/j.jvscit.2023.101119

Modified adaption of iliac branch endografts in rare congenital anomaly of proximal origin of bilateral internal iliac arteries

J Vasc Surg Cases Innov Tech. 2023 Feb 10;9(2):101119. doi: 10.1016/j.jvscit.2023.101119. eCollection 2023 Jun.

Authors

Takuro Shirasu^{1

2}, Atsushi Akai¹, Manabu Motoki¹, Masaaki Kato¹

Affiliations

¹ Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan.
² Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.

Abstract

We report a case of 55 mm abdominal aortic aneurysm coinciding with a rare congenital anomaly of proximal origin of bilateral internal iliac arteries (IIAs). Because renal to iliac bifurcation lengths were bilaterally short (129 mm and 125 mm), a trunk-ipsilateral leg and an iliac leg were deployed before iliac branch component insertion into the iliac leg. With help of a pull-through wire, internal iliac component was delivered without migration of the main body. The left IIA was embolized, but the right IIA was successfully preserved with commercially available iliac branch endoprosthesis only from femoral approaches, and the patient fully recovered without any complication.

Keywords: Abdominal aortic aneurysm; Congenital anomaly; Endovascular aneurysm repair; Iliac artery; Iliac branch endoprosthesis.

Publication types

Case Reports