Late type IIIb endoleak after endovascular aneurysm repair: case report and review of the literature

Bucci, Federico and Fiengo, Leslie and Valerio, Nicolas and Ferdani, Michel (2011) Late type IIIb endoleak after endovascular aneurysm repair: case report and review of the literature. Il giornale di chirurgia, 32 (6). pp. 329-333. ISSN 1971-145X

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Abstract

Purpose. To report a case of type IIIb endoleak developed six years after endovascular abdominal aortic aneurysm repair (EVAR). Case report. A 75-year-old man underwent successful Talent™ stent-graft positioning to treat a 53 mm abdominal aortic aneurysm. Subsequently the patient did well and yearly routine control computerized tomography (CT) was unremarkable. Six years later the patient suddenly developed abdominal pain irradiating to the back. An emergency angio-CT showed the presence of a type IIIb endoleak arising from the main body of the endograft. There weren’t signs of fissuration or rupture. Aneurysm diameter was 85 mm as compared to 52 mm on a CT performed ten months earlier. The patient underwent successful positioning of an aorto-monoiliac endograft followed by the occlusion of the controlateral limb and a femoro-femoral crossover dacron bypass graft. Three months later the patient presented again because of the sudden onset of abdominal pain. On angio-CT aneurysm size was increased up to 11 cm. A distal type I endoleak was found and treated by placing an iliac extension to the right external iliac artery. After uneventful postoperative course the patient was discharged in good general conditions. Control angio-CT done after six months showed the complete exclusion of the large aneurysm sac. Conclusions. Type IIIb endoleaks can be safely treated by endovascular positioning of an aorto-monoiliac stent-graft followed by the occlusion of the controlateral limb and a femoro-femoral crossover dacron bypass graft. Continuous surveillance after EVAR is mandatory.

Item Type:	Article
Uncontrolled Keywords:	Abdominal aortic aneurysm - Endovascular treatment - Type III endoleak
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	05 May 2016 14:59
Last Modified:	05 May 2016 14:59
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7558

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