Endovascular treatment of false aneurysm of the axillary artery in an obese woman with epilepsy: 5-year follow-up

False aneurysms of arteries in upper extremities are relatively rare. They occur in 2% of all false aneurysms, and axillary artery aneurysms are very uncommon. Open reconstructive surgery of axillary aneurysms bears a high risk of local and general complications. Progress in endovascular surgery, and especially miniaturization of delivery systems for stents and stent-grafts, has enabled their application in the treatment of small-size, peripheral arteries. Our article presents a case of an extremely obese woman - 170 kg, 57 years old - who presented with a massive, false aneurysm of the left axillary artery that resulted from an epilepsy attack. She was successfully treated with endovascular deployment of covered stent ViabahnTM o 6 mm x 50 mm (W.L. Gore), performed with the randez-vous technique. After 5-year-long follow-up, the stent-graft is patent, in the correct position, without radiological signs of migration or endoleaks.