Técnica híbrida de exclusão endovascular de aneurisma ilíaco comum e revascularização cirúrgica da artéria ilíaca interna

The authors present a successful clinical report of endovascular exclusion of a common iliac aneurysm and surgical revascularization of the internal iliac artery (IIA).

Case report of an 80‐year‐old man, previously submitted to endovascular repair of an aortoiliac aneurysm. Seven years after this intervention, the follow‐up angiographic computerized tomography showed progression of the right common iliac artery aneurysm to the iliac bifurcation and occlusion of the contralateral IIA.

The patient was submitted to a hybrid endovascular and surgical procedure, through right IIA interruption, external iliac artery – IIA bypass graft with prosthesis and endovascular repair of the right common iliac artery aneurysm.

The procedure was successful and, as the post‐surgical period, free of any complication. The patient was discharged at the fourth day after surgery and, till this date, remains asymptomatic and with imagiologic evidence of iliac aneurysm exclusion, with no endoleak, and EIA – IIA bypass patency.

In the treatment of the complex aorto‐iliac aneurysms, the hybrid technique is an alternative associated to a high rate of imagiologic and clinical success, with a lower rate of complications.