We report a case of endovascular repair of disruption of an aorto-bi-iliac graft detected by 4D computed tomography. An 83-year old man with previous aorto-bi-iliac graft replacement was admitted to our institution with severe epigastric pain. A 4D computed tomography detected disruption within the fabric of both graft legs, and we performed emergency endovascular repair. The graft legs' disruption sites were completely covered by stent grafts. On the 12th postoperative day, a balloon-expandable stent was added to diminish Type I endoleak. The patient was discharged in an ambulatory state on the 34th postoperative day.
- Aorto-bi-iliac graft replacement
- Dacron graft disruption
- Emergency surgery
- Endovascular therapy
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Cardiology and Cardiovascular Medicine