Managing Aortic Pseudoaneurysm Caused by Metastatic Choriocarcinoma

APRIL 2010 I ENDOVASCULAR TODAY I 29 T he indications for endovascular aneurysm repair have been extended since first described by Parodi and colleagues.1 Although initially designed for simple infrarenal aortic aneurysm repair, the development of bifurcated, modular, and custom-made grafts has extended the use of this technology to allow inclusion of different and challenging aortic anatomies and pathologies, including aortoiliac aneurysms, internal iliac aneurysms, as well as emergent ruptured aneurysms and aortoenteric fistulas.2-5 Aortic pseudoaneurysm resulting from infiltrating metastatic choriocarcinoma is a relatively rare entity, with a reported incidence of three cases in the literature in which these patients were mainly managed surgically.6-8 We report an unusual case of a patient with aortic pseudoaneurysm secondary to metastatic choriocarcinoma, in which the aortic defect was managed with a custom-made aortic graft.