Treatment of Abdominal Aortic Endograft Infolding

Aortic endograft infolding is considered a rare endograft related complication and is mostly reported after deployment in the thoracic aorta. We report a case of early abdominal endograft infolding with luminal obliteration and acute bilateral limb ischemia after endovascular treatment of a common iliac aneurysm. Even though completion Computed Tomography (CT) angiography, three days prior, revealed no apparent mismatch of the stent graft to the aortic wall. This report aims to describe an overview of the different treatment modalities and focuses on the endovascular techniques for inducing re-expansion of the infolded graft and allowing for improved sealing of the endograft.