Contained Giant Abdominal Aortic Aneurysm Rupture Secondary to Type I and III Endoleaks Requiring Open Repair With Endograft Explantation

被引:1
|
作者
Zamin, Syed A. [1 ]
Devalla, Raviteja [1 ]
Mitchell, Marc E. [1 ]
机构
[1] Univ Mississippi, Med Ctr, 2500 N State St, Jackson, MS 39216 USA
关键词
Endoleak; EVAR; Endovascular; Aortic Aneurysm; Vascular Surgery;
D O I
10.1177/00031348231167410
中图分类号
R61 [外科手术学];
学科分类号
摘要
Endovascular aneurysm repair (EVAR) is a minimally invasive treatment for abdominal aortic aneurysms (AAAs). Common complications include endoleaks, which are continued blood flow into the aneurysm sac external to the graft. Type I endoleaks occur proximally or distally, resulting from inadequate seals between the graft and artery. Type III endoleaks stem from defects between components in modular grafts or fabric tears. Re-intervention is indicated for type I and III endoleaks due to pressurization of the aneurysm sac resulting in a high risk of rupture. A 68 year-old man presented with an infrarenal AAA and underwent EVAR. He developed a late type I endoleak requiring reintervention with a stent graft cuff, and later presented with a recurrent type I endoleak and type IIIb endoleak. The AAA increased in size to 18 cm with contained rupture, requiring emergent endograft explantation and repair with a bifurcated Dacron graft. His postoperative course was uncomplicated.
引用
收藏
页码:3623 / 3625
页数:3
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