Stenting for Proximal Para-Anastomotic Stenosis: of an Infrarenal Aortic Bypass Graft

AUTOR(ES)

Ramaiah, Venkatesh

RESUMO

We present a case in which endovascular stenting was used for recurrent proximal para-anastomotic stenosis 11 years after aorto-bi-iliac bypass grafting for severe aortoiliac occlusive disease. A 55-year-old woman presented with worsening bilateral hip and buttock claudication. At presentation, her resting ankle-brachial indices were 0.87 bilaterally and decreased to 0.39 on the right and 0.40 on the left with exercise. Aortography demonstrated a proximal para-anastomotic aortic graft stenosis without distal outflow obstruction, patent superficial femoral arteries, and good triple-vessel runoff bilaterally.

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