Abstract
•Endovascular repair of infra-renal aortic aneurysm is becoming the preferable method of intervention.•Contralateral gait cannulation is an important, challenging step during infra-renal aortic aneurysm endovascular repair.•Maldeployment of the contralateral gait outside the aortic sac is a difficlut situation that mandates urgent intervention.•Conversion to open surgery is the main solution of maldeployment, but several endovascular salvage methods exist.
Endovascular repair of infra renal aortic aneurysm is becoming the preferable method of intervention compared to open surgery due to the lower early morbidity rates. One of the complications during the procedure is contra-lateral gate (CLG) maldeployment. Learning the endovascular salvage options is necessary to avoid the morbidities of open surgical conversion.
we present a case of maldeployment during an endovascular exclusion of aortic aneurysm in a high cardiac risk patient for whom an endovascular management was successful.
We discuss the detailed technical aspect in managing CLG maldeployment in our case as well as variable options from literature.
Despite the available possibility to convert to open, there are multiple endovascular bail out alternatives to manage maldeployment that can be successfully performed by experienced interventionalist.