Gonadal vein as a bypass conduit for arterial reconstruction during an aortic debranching repair of a paravisceral aortic aneurysm

We report a case of a hybrid aortic debranching procedure for repair of a paravisceral inflammatory aortic aneurysm. Vein grafts were chosen over prosthetics because of concern for infection as a possible etiology. The gonadal vein was successfully used as a vein graft between the right common iliac artery and the right renal artery before aortic endograft placement.