Abstract
A 73-year-old man, who had underwent coronary artery bypass, aortic valve replacement and debranching thoracic endovascular aortic repair for arch aneurysm, had abdominal aortic aneurysm (AAA, fusiform type, 46 × 44 mm in diameter) with multiple focal aortic dissections involving visceral/abdominal aorta and common iliac arteries. We conducted endovascular aortic repair for this AAA in consideration of his past cardiovascular surgical histories and the risk of open repair regarding the vascular clamp injuries for fragile aorta and iliac arteries owing to focal dissections. The device of endovascular aortic repair (EVAR) was C3 Excluder, which was composed of polytetrafluoroethylene graft and nitinol frames without bare stents at the top end, could exclude the AAA without any type I/III endoleaks and aortic dissections uneventfully. EVAR with C3 Excluder stent graft is an excellent alternative of open repair for patients with AAA complicated with multiple focal dissections involving abdominal aorta and iliac arteries without any fear of vascular clamp injuries on open repair.
