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

• Published in: Journal of vascular surgery cases and innovative techniques Vol. 9; no. 2; p. 101119
• Main Authors: Shirasu, Takuro, Akai, Atsushi, Motoki, Manabu, Kato, Masaaki
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2023; Elsevier
• Subjects: Abdominal aortic aneurysm; Case report; Congenital anomaly; Endovascular aneurysm repair; Iliac artery; Iliac branch endoprosthesis; Congenital anomaly; Endovascular aneurysm repair; Iliac branch endoprosthesis; Iliac artery; Abdominal aortic aneurysm
• ISSN: 2468-4287; 2468-4287
• DOI: 10.1016/j.jvscit.2023.101119

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.