TRANSFEMORAL INTRALUMINAL IMPLANTATION OF A BIFURCATION PROSTHESIS FOR ABDOMINAL AORTIC-ANEURYSM

Transfemoral intraluminal placement of a woven-dacron bifurcation pros thesis was undertaken to bridge an infrarenal aortic aneurysm (4.6 cm diameter) in a 65-year-old man with chronic coronary heart disease. Th e Chuter-Gianturco introducing system tem was used via the right femor al artery to anchor the prosthesis immediately below the origins of th e renal arteries. After fixing the right branch of the prosthesis the left one was secured via the left femoral artery. No leakage was demon strated on the 7th postoperative day and the aneurysm was satisfactori ly bridged. Regular follow-up tests showed a normal circulation. Spira l computed tomography after 18 months confirmed complete thrombosis of the aneurysm. - This case shows that the described method is a promis ing alternative in the treatment of abdominal aneurysm.