Endovascular treatment of perigraft seroma in patient with prior hybrid thoracoabdominal repair using visceral bypass to relieve duodenal obstruction

Perigraft seroma (PS) is a postoperative complication occurring after prosthesis placement. A 48-year-old man who had previously undergone visceral debranching bypass surgery as a part of hybrid thoracoabdominal aortic repair was referred to our hospital because of vomiting. Contrast-enhanced computed tomography revealed a duodenal obstruction resulting from compression by a PS located around the bypass graft and extending to the right renal artery. Endovascular relining of the visceral bypass graft using a covered stent was performed, resulting in immediate resolution of the duodenal obstruction and shrinkage of the PS. Endovascular repair can be considered as an effective option for treating a PS.