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CC BY 4.0 · Thorac Cardiovasc Surg Rep 2025; 14(01): e12-e15
DOI: 10.1055/a-2591-9692
Case Report: Vascular

Staged Therapy of Polyaneurysmal Disease Including the World's First BeFlared Use in Anaconda FEVAR

Paula R. Keschenau 
1   Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessen and Marburg Campus Giessen, Giessen, Germany
,
Sharif Elshafei
1   Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessen and Marburg Campus Giessen, Giessen, Germany
,
Johannes Kalder
1   Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessen and Marburg Campus Giessen, Giessen, Germany
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Abstract

Background

Abdominal aortic aneurysms frequently coincide with popliteal artery aneurysms. The association with multiple peripheral aneurysms, sometimes called polyaneurysmal disease, is less frequent.

Case Description

An 82-year-old male was diagnosed with polyaneurysmal disease. He was treated by femoral, popliteal, and profundal interposition grafts as well as fenestrated endovascular repair (FEVAR) using an Anaconda (Terumo Aortic, Inchinnan, Scotland) endoprosthesis combined with BeGraft peripheral and BeFlared (BF) bridging stent grafts (Bentley InnoMed, Hechingen, Germany).

Conclusion

Polyaneurysmal disease in an aged patient can be treated successfully by thorough case planning, staging of procedures, and combining different vascular surgical techniques. It demonstrates the smooth implantation of the BeFlared in an Anaconda FEVAR.

Keywords

aortic aneurysm - peripheral aneurysm - fenestrated endovascular aortic repair - endovascular aortic repair - bridging stent graft


Publication History

Received: 19 December 2024

Accepted: 07 April 2025

Accepted Manuscript online:
23 April 2025

Article published online:
26 May 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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