A 68-year-old man with history of hypertension and coronary artery disease (coronary artery bypass graft surgery in the past) with no follow-up in the.

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Subgroup analyses for mortality after treatment with coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI). LAD, left anterior.

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Presentation transcript:

A 68-year-old man with history of hypertension and coronary artery disease (coronary artery bypass graft surgery in the past) with no follow-up in the past 12 years was admitted to the hospital with complaints of nausea, vomiting, and generalized weakness. Abdominal examination revealed a pulsating mass in the epigastrium. A. Three-dimensional reconstruction image of an abdominal computed tomography scan with an abdominal aortic aneurysm measuring 8.3 × 8.1 cm with extensive mural thrombus and a common iliac artery (CIA) aneurysm measuring 4.1 cm in greatest dimension. B. Contrast angiogram showing the 4.1 cm CIA aneurysm. C. Angiogram demonstrating embolization of the right internal iliac artery (feeding the right CIA aneurysm) with a 22-mm Amplatzer vascular plug as a first stage in the endovascular repair (EVR) of the aortoiliac aneurysm. D. The second and final stage in the complex EVR procedure of the aortoiliac aneurysm with a bifurcating stent graft excluding both the abdominal aortic aneurysm and the CIA aneurysm. AAA, abdominal aortic aneurysm; CIAA, common iliac artery aneurysm; LCIA, left common iliac artery; REIA, right external iliac artery; RIAA, right internal iliac artery. Source: Chapter 111. Minimally Invasive Treatment of Peripheral Vascular Disease, Hurst's The Heart, 13e Citation: Fuster V, Walsh RA, Harrington RA. Hurst's The Heart, 13e; 2011 Available at: http://accesscardiology.mhmedical.com/DownloadImage.aspx?image=/data/books/hurs13/hurs13_c111f026.jpg&sec=40298633&BookID=376&ChapterSecID=40279850&imagename= Accessed: March 12, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved