This book presents 100 challenging cases encountered in vascular surgery practice that were selected from the author's vascular registry of 7,000 vascular reconstructions (endovascular and open). Chapters include difficult surgical problems of patients with aortic, visceral and peripheral arterial aneurysms, with expert management of mycotic, inflammatory and ruptured aneurysms and major complications like aorto-duodenal fistula, graft infection or inferior vena cava injury. These reconstructions are representative of the "real world" experience of vascular surgery in the United States, and the selection of cases were based on either difficulty with case selection, or complex operative or an endovascular technique. The natural history of vascular reconstructions often leads to secondary reconstructions, which are far more complex and therefore are included in significant numbers in this text. Both good and unsatisfactory results have been included and the lessons learned from thepoor outcomes are emphasized. Invited commentaries from leading experts in the field have been added to a few chapters offering an alternate viewpoint in the management of patients with complex pathology.

Challenging Arterial Reconstructions: 100 Clinical Cases serves as an invaluable resource to vascular surgeons that are learning or regularly performing open surgical or endovascular interventions.

Symptomatic Proximal Anastomotic Pseudoaneurysm of Suprarenal Aorta

Repair of Juxtarenal Abdominal Aortic Aneurysm With Aortorenal Bypass
Abdominal Aortic Aneurysm Repair in a Patient With Celiac Artery Occlusion and a Large Inferior Mesenteric Artery
Abdominal Aortic Aneurysm Repair in a Patient With a Pelvic Kidney
Open Repair of Abdominal Aortic Aneurysm in a Patient With Double Inferior Vena Cava
Mycotic Aneurysm of the Abdominal Aorta
Open Abdominal Aortic and Iliac Aneurysm Repair in a Patient With Cirrhosis of the Liver
Major Venous Injury During Repair of Abdominal Aortic and Iliac Aneurysm
Secondary Aortoduodenal Fistula Following Abdominal Aortic Aneurysm Repair
Open Repair of an Inflammatory Abdominal Aortic Aneurysm
Right Subhepatic Approach for Inflammatory Aortic Aneurysm in a Patient With Scoliosis
Large Symptomatic Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm in a Patient With Chronic Lymphocytic Leukemia
Inflammatory Abdominal Aortic Aneurysm Presenting With Testicular Pain
Abdominal Aortic Aneurysm Repair in a Patient With Factor VII Deficiency
Open Repair of Ruptured Abdominal Aortic Aneurysm Complicated by Pancreatitis and Duodenal Obstruction
Rupture of Abdominal Aortic Aneurysm in a Patient With a Horseshoe Kidney
Rupture of Pararenal Aortic Aneurysm
Rupture of Abdominal Aortic Aneurysm With Tear of Inferior Vena Cava in a Patient With Prior Endograft
Prosthetic Graft Infection Following Open Repair of Ruptured Abdominal Aortic Aneurysm
Open Repair of Common Iliac Artery Aneurysm
Open Repair of Ruptured Common Iliac Artery Aneurysm
Open Repair of Ruptured Mycotic Aneurysm of the Common Iliac Artery
Rupture of Hypogastric Artery Aneurysm
Contained Rupture of Femoral Anastomotic Aneurysm
Open Repair of Right Common Femoral Artery Aneurysm
Open Repair of Contained Rupture of Right Popliteal Aneurysm
Open Repair of Giant Recurrent Popliteal Aneurysm
Open Repair of Large SymptomaticSubclavian-Axillary Artery Aneurysm With Partial Claviculectomy
Repair of Extracranial Carotid Artery Aneurysm With Mandibular Subluxation
Open Repair of the Superior Mesenteric Artery Aneurysm
Resection of a Malignant Carotid Body Tumor With Carotid Artery Resection
Resection of a Large Carotid Body Tumor With Mandibular Subluxation
Infected Dacron Patch Following Carotid Endarterectomy
Carotid Endarterectomy for a Recent Minor Stroke
Carotid Endarterectomy With Mandibular Subluxation
Carotid Endarterectomy With Intra-Operative Stroke Due to Plaque Embolization During Shunt Insertion
Intracerebral Hemorrhage Following Carotid Endarterectomy
Carotid Endarterectomy for Symptomatic Radiation Induced Carotid Stenosis
Nonconvulsive Status Epilepticus Following Carotid Endarterectomy
Carotid Endarterectomy Followed by Retrieval of Plaque Embolus from M-1 Segment of Middle Cerebral Artery
Redo Carotid Endarterectomy for Recurrent Atherosclerotic Carotid Stenosis.-Carotid Interposition Graft in a Patient With Prior Carotid Stenting for Acute Stroke
Carotid Endarterectomy in a Patient With Recent Minor Stroke Due to Unstable High Plaque
Redo Aorto-Bifemoral Graft
Aorto-Bifemoral Graft in a Patient With Horseshoe Kidney
Spiral Vein Graft for Radiation Induced Right Common and External Iliac Artery Occlusion
Infected Aorto-Bifemoral Graft
Aorto-Femoral Graft - A 30 Year Follow-Up
Aorto-Femoral Grafting for Infra-Renal Aortic Occlusion
Exposed Femoral Graft Following Multiple Arterial Reconstruction
Complications (Early and Late) of Aorto-Femoral Grafting
Mesenteric Revascularization in Patients With Acute on Chronic Bowel Ischemia
Femoral-Peroneal Bypass for Critical Limb Ischemia in a Patient With Unstable Angina
Femoral-Peroneal Bypass for Severe Calcific Disease Using Tourniquet Occlusion
Femoral Distal Posterior Tibial Bypass for Established Gangrene
Autogenous Composite Vein Bypass for Redo Infrainguinal Arterial Reco