Eight on 80-Ruptured and Intact Multiple Site Aneurysms: Aorto-Bi-Common and External Iliac, Right Popliteal and Left Femoral and Popliteal Artery Aneurysms, Sequentially Repaired Successfully in an Octogenarian

Abstract

Degenerative aortic and peripheral aneurysms are well known to present in the elderly at multiple sites at varying time. Aneurysms occurring in the arteries of the lower limb are most common after aneurysms of the infrarenal aorta. A strong association exists between the presence of true aneurysms of the femoral or popliteal arteries and those of the contralateral extremity and more importantly aortoiliac domain. Consequently, the discovery of a lower extremity aneurysm mandates careful observation, evaluation, or both for associated aneurysms in the opposite limb and abdominal aorta. Traditional open surgery is used to be mandated in ruptured aneurysm in previous years, whereas endovascular therapeutic modality is a mainstay in the current practice, especially in elderly and frail patients with short life expectancy. Herein, we present a report of successful outcome following open and endovascular repair of eight aneurysms in an octogenarian at varying times under a decade.

Keywords

• Abdominal aortic aneurysm
• endovascular repair
• multiple aneurysm
• open surgical repair
• popliteal artery aneurysm