PMC7876840_01
Preoperative CT-angiography showing significant atherosclerotic aortic disease in correspondence of the infrarenal aortic segment and right renal artery.
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CT angiography confirmed the atherosclerotic disease in the aortic carrefour with local dissection and significative stenosis on both origins of common iliac arteries (Fig. 1); furthermore, superficial femoral arteries were bilaterally occluded and non-significant stenosis in correspondence of both popliteal arteries (Fig. 2).
Completion intraoperative angiography showing the correct positioning and patency of the aortic stent-graft.
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The left renal artery stenosis was also addressed by placing a 5 x 15 mm Hippocampus (Medtronic, Dublin, Ireland) renal stent (Fig. 3).
Postoperative CT maximum intensity projection showing maintained patency of the femoro-popliteal bypass.
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The 2-months follow-up CT angiography confirmed correct abdominal aortic stent-graft with maintained good patency of renal stent and femoro-popliteal bypass (Fig. 4).