Combined Use of Endovascular and Standard Operative Procedures for the Treatment of Multiple Aortoiliac Pseudoaneurysms: Application of Emerging Surgical Techniques

New endovascular procedures are increasing the options available to the vascular surgeon for the treatment of arterial disease. These techniques, alone or in combination with conventional surgical techniques, may allow the safer treatment of complex aortoiliac pathology, particularly in patients with comorbid medical illnesses who have high morbidity and mortality rates associated with open surgical repair. The authors describe the successful treatment of two noninfected aortoiliac false aneurysms eight years after the original arterial reconstruction with a bifurcated graft. The pseudoaneurysms were treated by use of a combination of endovascular and standard surgical techniques in a patient with significant comorbid medical conditions that limited standard surgical repair.