Staged Therapy of Polyaneurysmal Disease Including the World's First BeFlared Use in Anaconda FEVAR

BACKGROUND: Abdominal aortic aneurysms frequently coincide with popliteal artery aneurysms. The association with multiple peripheral aneurysms, sometimes called polyaneurysmal disease, is less frequent. CASE DESCRIPTION: An 82-year-old male was diagnosed with polyaneurysmal disease. He was treated by femoral, popliteal, and profundal interposition grafts as well as fenestrated endovascular repair (FEVAR) using an Anaconda (Terumo Aortic, Inchinnan, Scotland) endoprosthesis combined with BeGraft peripheral and BeFlared (BF) bridging stent grafts (Bentley InnoMed, Hechingen, Germany). CONCLUSION: Polyaneurysmal disease in an aged patient can be treated successfully by thorough case planning, staging of procedures, and combining different vascular surgical techniques. It demonstrates the smooth implantation of the BeFlared in an Anaconda FEVAR.