Late Complications Following Aortic Aneurysm Repair

Zeeland, Michiel L.P. van; Laan, Lijckle van der

doi:10.5772/20022

Cited by 3 publications

(1 citation statement)

References 57 publications

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“… 4 Additionally, graft-related complications following open AAA repair include anastomotic aneurysm, graft occlusion, graft infection, and aortoenteric fistula, while non-graft-related complications include small bowel obstruction, incisional hernia, sexual dysfunction, buttock claudication, and infection. 5 …”

Section: Discussionmentioning

confidence: 99%

Atypical Presentation of a Type 2 Endoleak following Emergency Open Repair of a Ruptured Abdominal Aortic Aneurysm

Sharma

Halandras

Milner

2016

EJVES Short Reports

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BackgroundAn endoleak is a common complication following EVAR. Specifically, a Type 2 endoleak occurs because of retrograde flow from lumbar vessels outside the endograft within the aneurysm sac. Even though it is common following EVAR, it has not been identified as a complication following open ruptured abdominal aortic aneurysm (AAA) repair.ReportA 73-year-old male underwent open repair of a ruptured AAA. Five months later, computed tomography revealed filling from a lumbar vessel mimicking a Type 2 “endoleak.” The initial ultrasound showed a single pair of lumbar vessels with aneurysm sac expansion 8 weeks later. The “endoleak” and expanding sac were treated, and the 2-year surveillance demonstrated sac shrinkage.DiscussionBecause endoleak is a complication after EVAR, this case provides a unique presentation of Type 2 “endoleak” physiology following open repair of a ruptured AAA. It is believed that it is necessary to expand the list of possible complications after open ruptured AAA repair to include “endoleaks.”

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Section: Discussionmentioning

confidence: 99%