Aortoiliac aneurysms constitute one of the main challenges facing vascular
surgeons worldwide. We report for the first time the successful reconstruct
ion of the aorta and iliac arteries with a quadrifurcated prosthesis, in a
72-year-old man with an infrarenal abdominal aortic aneurysm, and aneurysms
of the iliac arteries involving both iliac bifurcations. The aortoiliac re
construction was performed with a quadrifurcated knitted Dacron graft, reva
scularising both internal and external iliac arteries. In our opinion, the
use of such a graft is recommended in aortoiliac revascularisations wheneve
r it is advisable for the preservation of flow to internal iliac arteries.