Early Post-EVAR Rupture in a Patient with Early Type II Endoleak: A Borderline Treatment.

Autor: Anastasiadou C; Department of Vascular Surgery, General Hospital of Attica 'KAT', Athens, Greece. Electronic address: an.xristiana@hotmail.com., Giannakakis S; Department of Vascular Surgery, General Hospital of Attica 'KAT', Athens, Greece., Papapetrou A; Department of Vascular Surgery, General Hospital of Attica 'KAT', Athens, Greece., Galyfos G; Department of Vascular Surgery, General Hospital of Attica 'KAT', Athens, Greece., Kastrisios G; Department of Vascular Surgery, General Hospital of Attica 'KAT', Athens, Greece., Maltezos C; Department of Vascular Surgery, General Hospital of Attica 'KAT', Athens, Greece.
Jazyk: angličtina
Zdroj: Annals of vascular surgery [Ann Vasc Surg] 2020 May; Vol. 65, pp. 285.e7-285.e9. Date of Electronic Publication: 2019 Nov 09.
DOI: 10.1016/j.avsg.2019.10.099
Abstrakt: Purpose: The detection of type II endoleak one month after endovascular aneurysm repair (EVAR) is usually neglected or considered benign. Aim of this report is to present a case of post-EVAR rupture, due to type II endoleak, and discuss on pathophysiology and differential diagnosis.
Case Report: We present a case of a 67-year-old male who was treated with EVAR for an asymptomatic abdominal aortic aneurysm and four months later, he presented with a contained rupture due to a type II endoleak. The patient was treated conservatively without any intervention with satisfying result.
Conclusions: We are demonstrating conservative management as a valid therapeutic option for patients presenting with a contained post-EVAR rupture.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE