Complex management of multiple aneurysms in a patient with significant atherosclerosis and vascular comorbidities

This report presents the comprehensive treatment and management of a 63-year-old male patient with a history of hypertension, smoking, chronic obstructive pulmonary disease (COPD), and generalized atherosclerosis, who was admitted to hospital with chronic ischemia of the lower right limb. The patient underwent multiple vascular interventions over the course of several years, including iliofemoral bypass, aorto-biiliac prosthesis implantation, aneurysmectomy, and endovascular stent graft procedures as well as skin plastic surgery. The management involved the use of various prosthetic materials and techniques, and despite the complexity of the case, the patient experienced favorable outcomes with resolution of symptoms and aneurysms exclusion. This case emphasizes the importance of a multidisciplinary approach in treating patients with extensive vascular pathologies.