Recurrent Supra-Anastomotic Aneurysm Following Infrarenal Aortic Repair

Abstract

A 72-year-old woman presented with a recurrent proximal aortic true aneurysm 7 years after an abdominal aortic aneurysmectomy. It was complicated by a contained rupture into the right psoas. The repair was successfully realized through a thoraco-abdominal approach. A tube graft was interposed between the proximal aorta and the old graft, associated with the reimplantation of the renal arteries. A systematic follow-up of abdominal aortic grafts by reliable diagnostic methods is advocated to provide a timely and appropriate surgical treatment of this major complication.

Key words:

• Abdominal aortic aneurysm
• abdominal aortic grafts
• complications
• recurrent thoracoabdominal aneurysm