Delayed Open Repair for Persistent Type I Endoleak after EVAR: A Case Report
Journal of the Korean Society for Vascular Surgery
;
: 52-55, 2008.
Article
in Korean
| WPRIM
| ID: wpr-88506
ABSTRACT
Endovascular aneurysm repair (EVAR) is used with increasing frequency in the management of high-risk abdominal aortic aneurysm (AAA) patients. We report a delayed open repair for a persistent type I endoleak after EVAR in a patient with co-morbidities. An infrarenal AAA with a transverse diameter of 9.86 cm was detected on CT angiography; it extended from 8 mm below the renal artery to both common iliac arteries. The infrarenal angle was 90 degrees. After insertion of a Zenith stent graft (COOK, USA), a type I endoleak was detected on aortography, and several balloon dilatations were performed. The procedure was finished with a sustained type I endoleak. The endoleak persisted after 5 days on Doppler ultrasound, so open repair was performed. Total operative time was 240 minutes, and the duration of supra-celiac aorta clamping was approximately 35 minutes. The patient suffered an acute myocardial infarction on postoperative day 7 and recovered with conservative management. The patient was discharged on postoperative day 29.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Renal Artery
/
Aortography
/
Stents
/
Aortic Aneurysm, Abdominal
/
Constriction
/
Transplants
/
Dilatation
/
Endoleak
/
Operative Time
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society for Vascular Surgery
Year:
2008
Type:
Article
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