Abstract

Introduction To report treatment of bilateral evolutive iliac artery aneurysms three years after EVAR. Report Three years following uncomplicated Zenith AAA stent-graft placement, the patient presented with aneurysmal common iliac arteries. Through a combined femoro-brachial approach, both iliac artery aneurysms were excluded, and a Zenith branch graft was placed to preserve the left hypogastric artery. The procedure was technically successful and free from complication. One year post-procedure, the Zenith branch graft remains stable. Discussion A combined femoro-brachial approach, with iliac branch graft placement, offered a solution to a challenging scenario.

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