Abstract
We successfully treated the patient who had a right internal iliac artery aneurysm and a left common iliac artery aneurysm without an abdominal aortic aneurysm using bilateral internal iliac coil embolization followed by the insertion of the bilateral Excluder contralateral legs as kissing stent grafts from the distal abdominal aorta to the bilateral external iliac artery so as to preserve the inferior mesenteric artery. A 93-year-old man on the medication therapy for multiple myeloma revealed to have a right internal iliac artery aneurysm 30 mm in diameter and a left common iliac artery aneurysm 62 mm in diameter. Both distal and proximal necks of the huge left common iliac artery were short, which precluded the simple stent graft insertion only in the left common iliac artery. We underwent bilateral coil embolization of the internal iliac arteries followed by the bilateral iliac leg stent grafts insertion. The proximal ends of the stent grafts were positioned at the abdominal aorta distal to the inferior mesenteric artery so as to prevent the pelvic ischemia and were deployed with a kissing stentgraft technique, while the distal ends being situated at the external iliac arteries on both sides. No endoleak was observed and he was discharged without any complication.
