Endoluminal transfemoral abdominal aortic aneurysm repair with aorto‐uni‐iliac graft and femorofemoral bypass

Endoluminal transfemoral repair of abdominal aortic aneurysm (AAA) is an important development but large aneurysms seldom have a distal neck suitable for the currently available devices for a straight aortoaortic graft1–3. A bifurcated graft system overcomes the limitation of lack of distal neck but it is unsuitable for a significant proportion of aneurysms because of a wide or aneurysmal iliac vessel1. An alternative technique of aorto-uni-iliac graft with occlusion of the contralateral common iliac with embolization and a femorofemoral crossover graft is described.