Complex reconstruction of the terminal aorta with simultaneous femoral-tibial bypass grafting in a patient with critical limb ischemia and multilevel atherosclerotic disease (case report)

Presented herein is a clinical case concerning a hybrid approach to the treatment of a 67-year-old patient with terminal abdominal aortic stenosis and prolonged occlusion of the femoral-popliteal segment of the left lower limb with the development of stage 4 chronic limb ischemia. The patient underwent a hybrid surgical procedure: complex endovascular reconstruction of the terminal aorta and iliac arteries (CERAB) with simultaneous left-sided autovenous femoral-tibial bypass grafting with good immediate and medium-term results.