Endograft connector technique to treat popliteal artery aneurysm in a morbid obese patient.

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Abstract

Surgical repair of popliteal artery aneurysm in morbid obese patients poses additional challenges. We report a morbidobese patient who had a 59mm right popliteal artery aneurysm which was successfully treated with the endograftconnector technique. This technique was used to perform the distal anastomosis of the below-knee femoro-poplitealbypass. A 10mm Dacron graft was used as a main graft bypass and an 11 mm/10 cm stentgraft as endograft connector.Following the respective tunnel of the Dacron graft, an end-to-side proximal anastomosis was performed at distalfemoral artery. The aneurysm exclusion was obtained through a proximal and a distal ligation. Postoperative duplexshowed adequate bypass patency. Knee x-rays demonstrated no signs of stent kinking/fractures. The postoperativecourse was uneventful and the patient was discharged home on fourth day post operative. The six-month computedtomography scan and the 12-month duplex control showed a patent bypass with no signs of stenosis.
Original languageUndefined/Unknown
Pages (from-to)165-169
Number of pages5
JournalVascular
VolumeMay
Publication statusPublished - 2015

All Science Journal Classification (ASJC) codes

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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