Diagnosis and treatment of a patient with type IV endoleak as a late complication after endovascular aneurysm repair
نویسندگان
چکیده
Type IV endoleak is a very rare complication observed after implantation of aortobiiliac stent grafts. The difficult diagnosis of type IV endoleak leads to the application of many imaging methods in the diagnostic process. We present a case report of a patient who underwent implantation of an aortobiiliac stent graft in 2004. After surgery, the size of the aneurysm sac was monitored continually in the subsequent imaging studies. Progression of the aneurysm sac volume was detected in 2009. In a short period of time, the diameter of the aneurysm increased from 100 to 140 mm. Angio-computed tomography and angiography did not reveal the location of the endoleak. The attempt at localization and endovascular closure of the source of the endoleak failed. It was decided to treat the patient surgically. Intraoperatively, the source of the endoleak was visualized, and the endoleak was closed with surgical sutures.
منابع مشابه
Late Sac Rupture due to a Type IV Endoleak after Previous Endovascular Aortic Aneurysm Repair: A Case Report
Type IV endoleaks have been identified as endoleaks of low flow, and rupture risk has been estimated to be minimal in literature. Therefore, conservative treatment has been recommended in most cases. We are presenting a rare case of late rupture due to type IV endoleak that was treated with open repair applying a novel surgical technique.
متن کاملEndovascular Treatment of a Late Complication of an Open Repair of Abdominal Aortic Aneurysm
Abdominal aortic aneurysms (AAA) are the most common type of aortic aneurysms. Traditionally it has been treated by open surgical repair (OSR), but in the last years endovascular repair (EVAR) became the first choice treatment in patients with suitable anatomy. Although the mortality and morbidity are lower with EVAR, late complications, such as endoleaks, remain a problem. Late complications a...
متن کاملAn Aortoenteric Fistula Arising after Endovascular Management of a Mycotic Abdominal Aortic Aneurysm Complicated with a Psoas Abscess
Mycotic aortic aneurysms account for 1–3% of all aortic aneurysms. The management of this disease is controversial. Since open surgical repair is associated with high morbidity and mortality rates, endovascular aneurysm repair is an alternative treatment method with promising early and midterm outcomes, although its long-term durability is unknown.Secondary aortoenteric fistulas may occur iatro...
متن کاملLate aneurysm rupture after endovascular abdominal aneurysm repair.
OBJECTIVES The goal of endovascular repair is to protect the patient from aneurysm rupture. Careful surveillance should be performed postoperatively in order to select patients with aneurysm growth and, therefore, the highest rupture risk. The aim of the study was to present our experience with aneurysm rupture in long-term follow-up after endovascular abdominal aneurysm repair. METHODS Betwe...
متن کاملAneurysm rupture after endovascular repair using the AneuRx stent graft.
OBJECTIVE The purpose of this study was to determine the cause and frequency of aneurysm rupture after endovascular aneurysm repair. METHODS We reviewed each patient who sustained aneurysm rupture among all patients enrolled for endovascular aortic aneurysm repair in phases I, II, and III of the US AneuRx Multicenter Clinical Trial from June 1996 through October 1999. RESULTS A total of 106...
متن کامل