Endovascular management of contralateral gate maldeployment during EVAR: Case report of interventional technique

INTRODUCTION: Endovascular repair of infra renal aortic aneurysm is becoming the preferable method of intervention compared to open surgery due to the lower early morbidity rates. One of the complications during the procedure is contra-lateral gate (CLG) maldeployment. Learning the endovascular salvage options is necessary to avoid the morbidities of open surgical conversion. PRESENTATION OF CASE: we present a case of maldeployment during an endovascular exclusion of aortic aneurysm in a high cardiac risk patient for whom an endovascular management was successful. DISCUSSION: We discuss the detailed technical aspect in managing CLG maldeployment in our case as well as variable options from literature. CONCLUSION: Despite the available possibility to convert to open, there are multiple endovascular bail out alternatives to manage maldeployment that can be successfully performed by experienced interventionalist.