Chimney Graft Endovascular Repair Of Para-Anastomotic Pseudoaneurysm After Mycotic Infrarenal Aortic Aneurysmectomy

Abstract

Para-anastomotic aneurysms are either true aneurysms or pseudoaneurysms. The latter tend to be asymptomatic until rupture. Para-anastomotic aneurysms (PASA)should be approached surgically either endovascular or open surgery despite the high morbidity and mortality associated with their treatment. This report describes the case of a 73-year-old man who presented with a para-anastomotic pseudoaneurysm( PASA ) secondary to mycotic infrarenal aortic aneurysmectomy. We chose to use an endovascular approach, and results were good. Endovascular techniques are increasingly becoming the method of choice in the treatment of para-anastomotic pseudoaneurysms.