title: Endograft connector technique to treat popliteal artery aneurysm in a morbid obese patient.
abstract: Surgical repair of popliteal artery aneurysm in morbid obese patients poses additional challenges. We report a morbid obese patient who had a 59 mm right popliteal artery aneurysm which was successfully treated with the endograft connector technique. This technique was used to perform the distal anastomosis of the below-knee femoro-popliteal bypass. A 10 mm Dacron graft was used as a main graft bypass and an 11 mm/10 cm stentgraft as endograft connector. Following the respective tunnel of the Dacron graft, an end-to-side proximal anastomosis was performed at distal femoral artery. The aneurysm exclusion was obtained through a proximal and a distal ligation. Postoperative duplex showed adequate bypass patency. Knee x-rays demonstrated no signs of stent kinking/fractures. The postoperative course was uneventful and the patient was discharged home on fourth day post operative. The six-month computed tomography scan and the 12-month duplex control showed a patent bypass with no signs of stenosis.
authors.affiliation: Vascular Surgery Unit, University Hospital 'P. Giaccone', Palermo, Italy felicepecoraro@libero.it.
authors.forename: Felice
authors.initials: F
authors.lastname: Pecoraro
authors.affiliation: Vascular Surgery Unit, University Hospital 'P. Giaccone', Palermo, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Bajardi
authors.affiliation: Vascular Surgery Unit, University Hospital 'P. Giaccone', Palermo, Italy.
authors.forename: Ettore
authors.initials: E
authors.lastname: Dinoto
authors.affiliation: Vascular Surgery Unit, University Hospital 'P. Giaccone', Palermo, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Vitale
authors.affiliation: Vascular Surgery Unit, University Hospital 'P. Giaccone', Palermo, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Bellisi
authors.affiliation: Vascular Surgery Unit, University Hospital 'P. Giaccone', Palermo, Italy.
authors.forename: Umberto Marcello
authors.initials: UM
authors.lastname: Bracale
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology
keywords: Popliteal artery aneurysm; femoro-popliteal bypass; sutureless anastomosis