Successful management of aortoiliac aneurysms with a quadrifurcated prosthesis

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.