Stent graft repair of anastomotic pseudoaneurysm of femoral-popliteal bypass graft following patch angioplasty

Pseudoaneurysm (PA) following vascular reconstruction is a complication of bypass surgery. Historically, the mainstay of treatment was an open repair; the surgical management consisted of resection of the initial graft with reimplantation of a new bypass either into the original arteriotomy or to a more distal target. Placement of a stent graft to exclude the PA is a viable option. We present a case of an 85-year-old man with prior history of polytetrafluoroethylene femoral-popliteal bypass now with an 8 x 5.6 cm PA of the distal anastomosis site treated with endovascular placement of a Viabahn stent.