6533b7d3fe1ef96bd1260bc4

RESEARCH PRODUCT

Renewed endovascular repair for recurrent acute abdominal aortic aneurysm

Umberto BracaleEric L.g. VerhoevenBen R. SaleemTed R. PrinsClark J. Zeebregts

subject

Malemedicine.medical_specialtyEndoleak type IIIRecurrent acuteSettore MED/22 - Chirurgia VascolareBlood Vessel Prosthesis ImplantationPostoperative ComplicationsRecurrenceEndovascular repairBack painmedicineHumansRadiology Nuclear Medicine and imagingcardiovascular diseasesAcute abdominal aortic aneurysmAged 80 and overEndoleak type IIbusiness.industrymedicine.diseaseAbdominal aortic aneurysmSurgerysurgical procedures operativeTreatment Outcomecardiovascular systemEmergency MedicineRadiologymedicine.symptombusinessTomography X-Ray ComputedAortic Aneurysm Abdominal

description

The aim of the study was to describe the successful endovascular management of a patient who was admitted urgently with a second episode of acute abdominal aortic aneurysm (AAA) 30 months after emergency endovascular abdominal aortic aneurysm repair (eEVAR) for a ruptured AAA. The patient, an 84 year-old male physician, presented with severe acute abdominal and back pain. Contrast-enhanced computer tomography scanning showed type III endoleak owing to complete disconnection of both graft limbs and the prosthetic main body. Treatment consisted of acute stent-grafting with two bridging stent-grafts to seal the endoleak and reline the graft. The patient is alive and well 6 months postoperatively. This case indicates the need for follow-up after eEVAR, but also that complications can be managed endovascularly.

yearjournalcountryeditionlanguage
2008-02-09
10.1007/s10140-008-0721-6http://hdl.handle.net/10447/42648