Page 12 - Virtual Vascular Vol 5

Infra-renal AAA with short neck

EVAR with Rt CIA embolization and EndoAnchor

A 84 years old man presented with incidental finding of pulsatile abdominal

mass. Clinically a 5cm AAA was palpated. A contrast CT aortogram was
performed. It showed a 5.4cm infra-renal AAA with short 8mm neck with a

3cm Rt CIA aneurysm. Both renal arteries were narrow with stenotic orifice.

The Rt IIA origin was very stenotic too. Both proximal and distal landing
zones are suboptimal.

Short aortic neck of 8mm only

R CIA
aneurysm

Short neck endoanchor

CT 480.mp4

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