2018 Volume 58 Issue 1 Pages 5-8
An 81 years old male was undergone endovascular aneurysm repair for abdominal aortic aneurysm, 50 mm in diameter with the chronic focal neck dissection. Because the main body inserted in the false lumen accidentally to be deployed, the contra-lateral leg was entrapped and undeployed by the aortic dissection flap. The upside down contra-lateral limb was deployed in the true lumen for bailout, Double-Barrel Sandwich technique was performed. Then each of stent grafts was reinforced by bare metal stents to keep each lumen. Although false lumen neck remained stenosed, postoperative course was uneventful. And we should continue careful regular observation.
