Endograft connector technique to treat popliteal artery aneurysm in a morbid obese patient. (April 2015)

• Record Type: Journal Article
• Authors: Pecoraro, Felice; Bajardi, Guido; Dinoto, Ettore; Vitale, Gaetano; Bellisi, Mario; Bracale, Umberto Marcello
• Is Part Of: Vascular. Volume 23:Number 2(2015:Apr.)
• Page Start: 165
• Page End: 169
• Publication Date: 2015-04
• Subjects: Popliteal artery aneurysm -- femoro-popliteal bypass -- sutureless anastomosis; 616.13
• DOI: 10.1177/1708538114533961
• Languages: English
• ISSNs: 1708-5381

Abstract

Surgical repair of popliteal artery aneurysm in morbid obese patients poses additional challenges. We report a morbid obese patient who had a 59 mm right popliteal artery aneurysm which was successfully treated with the endograft connector technique. This technique was used to perform the distal anastomosis of the below-knee femoro-popliteal bypass. A 10 mm 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 distal femoral artery. The aneurysm exclusion was obtained through a proximal and a distal ligation. Postoperative duplex showed adequate bypass patency. Knee x-rays demonstrated no signs of stent kinking/fractures. The postoperative course was uneventful and the patient was discharged home on fourth day post operative. The six-month computed tomography scan and the 12-month duplex control showed a patent bypass with no signs of stenosis.