Endurant Iliac Limb Trimming and Resheathing with Deployment via Axillary Conduit for Emergent Abdominal Aortic Repair

Abstract

A 28-year-old woman presented with 10 days of severe abdominal and back pain, with no trauma or fever. Serum infectious and inflammatory markers were negative. Computed tomography (CT) angiography revealed a bilobed, peripherally thrombosed pseudoaneurysm arising from the left posterolateral aspect of the infrarenal abdominal aorta (Fig 1a–c). A 3.5-mm accessory left renal artery (ALRA) supplied the inferior one third of the left kidney. No other features of aortitis or other involved vessels were present.