Successful endovascular repair of challenging abdominal aortic aneurysm with anaconda LoPro 90 stent graft system: Case report

Abstract

An abdominal aortic aneurysm is a life-threatening condition requiring monitoring or treatment depending upon the size and symptomatology. An abdominal aortic aneurysm may be detected incidentally or at the time of rupture. The most typical manifestation of rupture is abdominal or back pain with a pulsatile abdominal mass. Sometimes, the symptoms may be vague, and the abdominal mass may be missed. Currently, available management approaches include the traditional open laparotomy, newer minimally invasive methodologies, and the placement of endovascular stents. Endovascular aneurysm repair (EVAR) has been widely accepted and has become the preferred treatment option in several centers around the world. However challenging anatomy of aortic aneurysms such as short necks, juxta renal, thoracoabdominal, and pararenal locations are difficult to treat with conventional EVAR devices. Endograft technology and creative designs of EVAR devices have made the procedure easier and less stressful compared to open repair. Successful endovascular repair of abdominal aortic aneurysm (AAA) depends on the correct selection of patients, choice of the correct endoprosthesis, and familiarity with the technique and procedure-specific complications. Anaconda AAA Stent Graft System is the one introduced for repair of infra-renal abdominal aortic aneurysm (AAA) with complicated vascular anatomy. This case report briefs the challenging anatomy of an infrarenal abdominal aortic aneurysm in an asymptomatic patient and its successful repair.