Abstract
A 79 year old patient, unfit for open surgery, treated for a pararenal aortic aneurysm with the endovascular aneurysm sealing system (EVAS) with three chimneys in both renal arteries and the superior mesenteric artery, was lost to follow up and presented six years later with a type Ia endoleak and sac enlargement to 9 cm. (A) Computed tomography angiography reconstruction of the migrated left EVAS stent (red arrow). (B) The patient was successfully treated with a custom made thoraco-abdominal stent graft with three inner branches, an aorto-uni-iliac endoprosthesis on the right, plug on the left and femorofemoral crossover bypass.Image 1
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