Abstract
Shaggy aorta is an aorta in which there are extensive atheromatous ulcerations. We herein report a case treated by a stent graft. A 62-year-old woman with left 5th toe dry necrosis was diagnosed with shaggy aorta with Arteriosclerosis obliterans. After medical therapy, we performed surgical therapy. Due to the presence of insufficiently managed diabetes and severe obesity, we performed a stent graft with distal bypass. She was discharged after walking without any new embolisms. Stent grafts are sometimes not adapted to the shaggy aorta due to the embolism; however, is the grafts are believed to have low invasiveness and thus considered to be effective if carried out.