Testicular infarction: A rare complication of endovascular aneurysm repair treatment for aortoiliac aneurysm Academic Article uri icon


MeSH Major

  • Aortic Aneurysm, Abdominal
  • Blood Vessel Prosthesis Implantation
  • Iliac Aneurysm
  • Infarction
  • Testis
  • Thrombosis


  • Endovascular aneurysm repair (EVAR) is an established therapy to prevent rupture in large infrarenal abdominal aortic aneurysms (AAA). As experience with this therapy has grown, treatment of more challenging anatomy has led to the identification of several new procedurally related complications. We report the case of a 67-year-old man with an asymptomatic, large infrarenal AAA with an associated left common iliac artery aneurysm. Endovascular therapy for an aortoiliac aneurysm involved prior coil embolization of his left internal iliac artery to allow conventional EVAR with extension to the external iliac artery of the left graft limb, thus excluding the left iliac aneurysm. He presented 6 weeks postoperatively with onset of left-sided scrotal pain and underwent emergency orchidectomy for ischemic infarction of his left testis. The histology report confirmed that the left testis was necrotic secondary to a thrombus in the testicular artery. To our knowledge, this is the first report of testicular infarction after EVAR.

publication date

  • December 2009



  • Academic Article



  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2009.07.018

PubMed ID

  • 19782511

Additional Document Info

start page

  • 1487

end page

  • 9


  • 50


  • 6