Abstract
The patient was a 76-year-old man who underwent endovascular aortic repair of abdominal aortic aneurysm six years earlier. He was admitted to our hospital, where bilateral common iliac arterial aneurysms were diagnosed. We first performed additional stent graft placement with coverage of the right internal iliac artery for right common iliac arterial aneurysm. Next, five months postoperatively, we performed additional stent graft replacement for the left common iliac arterial aneurysm and reconstruction of the left internal iliac artery to prevent ischemic colitis. In the future, complications of distal landing zone after endovascular aortic repair can be expected to increase. As treatment, prevention of ischemic colitis is important, and surgical procedures to prevent ischemic colitis will need to be considered.
