Ischemia is a common complication of various endovascular procedures including endovascular aortic aneurysm repair. Multiple mechanisms can contribute to the pathogenesis of ischemia: thrombosis, arterial dissection, graft malpositioning, cholesterol embolization, and polymer graft embolization which is an underrecognized complication. To the best of our knowledge, only 38 cases of polymer graft embolization have been reported in the literature. The phenomenon has been reported in different organs including brain, heart, lungs, kidneys, bowel, liver, and skin. We report a unique case of fatal simultaneous cholesterol and polymer graft embolization with subsequent ischemic infarction of multiple organs (liver, kidneys, spleen, pancreas, duodenum, and stomach) in a 76-year-old woman following endovascular repair for an enlarging thoracic aortic aneurysm.

缺血是包括血管内主动脉瘤修复在内的各种血管内手术的常见并发症。多种机制可导致缺血的发病机制：血栓形成，动脉夹层，移植物错位，胆固醇栓塞和聚合物栓塞栓塞，这是一种未被充分认识的并发症。据我们所知，文献中仅报道了38例聚合物接枝栓塞病例。已经在包括大脑，心脏，肺，肾脏，肠，肝和皮肤在内的不同器官中报告了该现象。我们报告了致命的同时发生胆固醇和聚合物移植物栓塞以及随后多个器官（肝脏，肾脏，脾脏，胰腺，十二指肠，