Complex hybrid repair of multifocal visceral and aortoiliac pseudoaneurysms associated with neurosarcoidosis.

We report the case of a 36-year-old man with neurosarcoidosis who developed multiple pseudoaneurysms of the superior mesenteric artery (SMA), infrarenal aorta, and bilateral iliac arteries. Fluorodeoxyglucose-positron emission tomography demonstrated no significant uptake within the aneurysmal segments. Given the complex vascular anatomy, a staged hybrid approach was undertaken. Initial treatment consisted of a hepatic artery-to-distal SMA bypass followed by plug embolization of the SMA aneurysms. Subsequently, aortoiliac reconstruction was performed with a left aortouni-iliac endograft, femoral-femoral bypass, and right external-to-internal iliac artery stenting. This case highlights a rare vascular manifestation of sarcoidosis.