Rupture of an abdominal aortic aneurysm after endovascular graft placement and aneurysm size reduction

Alimi, Yves; Chakfé, Nabil; Rivoal, E; Slimane, Karah K.; Valerio, Nicolas; Riepe, G.; Kretz, Jean‐Georges; Juhan, C.

doi:10.1016/s0741-5214(98)70213-7

Cited by 161 publications

(96 citation statements)

References 15 publications

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“…However, immediately following TEVAR, 15% of patients had type I or III endoleaks and 10% had type II endoleaks (13). Additionally Alimi et al emphasized the need for lifelong surveillance because the possibility for developing a late failure with type I endoleak of a previously excluded aneurysm was not negligible (14). Accurate detection and classification is essential for the proper management since the method of endoleak treatment is determined by the different source.…”

Section: Discussionmentioning

confidence: 99%

Aortopulmonary fistula caused by an infected thoracic aortic false aneurysm rupturing after endovascular stent placement

et al. 2012

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We report a case of 74-year-old man presenting with a rupture of a thoracic aortic false aneurysm after undergoing conventional total arch replacement for aortic arch aneurysm (62 mm) and endovascular stent placement for descending aortic aneurysm (70 mm). His chief complaints at the present admission were fever and sensation of dyspnea and we put him on a course of antibiotics for stent graft infection. However he died of massive hemoptysis. From a standpoint of autopsy findings, a thoracic aortic false aneurysm formed at the just proximal landing zone owing to type Ia endoleak, and simultaneously stent graft infection lead to make fistula formation between the false aneurysm and the lung. We examined ourselves that stent graft infection and aortopulmonary fistula caused by an infected thoracic aortic false aneurysm rupturing into the lung should be promptly treated such as complete removal of the stent and another revascularization in a reasonable period of time except if there are complications such as comorbid1ities or withholding of consent. We experienced and reported one rare case associated with a rupture of thoracic aortic false aneurysm caused by stent graft infection and the fistulization between the lung and the stent graft.

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Section: Discussionmentioning

confidence: 99%

Aortopulmonary fistula caused by an infected thoracic aortic false aneurysm rupturing after endovascular stent placement

et al. 2012

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“…Proximal aortic neck dilatation with secondary hemodynamic high flow type Ia endoleak in one patient and neck dilatation followed by stentgraft migration and kinking were our indications for elective late conversion to OS. AAA rupture after EVAR is not a frequent, but also not a rare complication requiring conversion to OS 8,[23][24] . AAA rupture in our urgent OS indicated patient was secondary due to distal graft migration into the aneurysmal sac owing to proximal aneurysmal neck dilatation with type Ia endoleak that developed over the two years since EVAR (Fig.…”

Section: Discussionmentioning

confidence: 99%

Conversion to Open Surgery After Endovascular Abdominal Aortic Aneurysms Repair

Utíkal

Koecher²,

Koutná³

et al. 2006

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“…2,4,12,64,90,116 However, EVAR patients are not immune to the development of ADF and a small number of cases have been reported in the literature. 2,4,12,42,49,51,83,90,96,105,111,116 The exact cause for the development of ADF following EVAR remains unclear. A strong hypothesis is that local infection, which could be secondary to the grafting procedure or pre-existent (EVAR done for mycotic aneurysms) could result in intestinal necrosis and the formation of a fistula between the aneurysm and the intestinal wall.…”

Section: Aortoduodenal Fistulasmentioning

confidence: 99%

AAA Stent–Grafts: Past Problems and Future Prospects

et al. 2010

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Endovascular aneurysm repair (EVAR) has quickly gained popularity for infrarenal abdominal aortic aneurysm repair during the last two decades. The improvement of available EVAR devices is critical for the advancement of patient care in vascular surgery. Problems are still associated with the grafts, many of which can necessitate the conversion of the patient to open repair, or even result in rupture of the aneurysm. This review attempts to address these problems, by highlighting why they occur and what the failings of the currently available stent grafts are, respectively. In addition, the review gives critical appraisal as to the novel methods required for dealing with these problems and identifies the new generation of stent grafts that are being or need to be designed and constructed in order to overcome the issues that are associated with the existing first- and second-generation devices.

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Rupture of an abdominal aortic aneurysm after endovascular graft placement and aneurysm size reduction

Cited by 161 publications

References 15 publications

Aortopulmonary fistula caused by an infected thoracic aortic false aneurysm rupturing after endovascular stent placement

Aortopulmonary fistula caused by an infected thoracic aortic false aneurysm rupturing after endovascular stent placement

Conversion to Open Surgery After Endovascular Abdominal Aortic Aneurysms Repair

AAA Stent–Grafts: Past Problems and Future Prospects

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