LAUSR

cirrhosis admitted for hepatic decompensation. A few weeks prior to admission, the patient was suffering from worsening hepatic encephalopathy causing multiple falls. Ultrasound evaluation of right lower extremity swelling for deep venous thrombosis showed a 9-cm PA-PSA. Treatment included endovascular coverage of PSA neck with stent graft and endovascular exclusion (Fig 3). He remains without complications at 4 months of follow-up. Conclusions: Traumatic chronic giant PA-PSA can be limbor even lifethreatening if untreated. Treatment is individualized based on patient disease and comorbidities. Endovascular and local repair are safe alternatives to standard graft bypass.