Renewed endovascular repair for recurrent acute abdominal aortic aneurysm.

Autor: Bracale UM, Zeebregts CJ, Saleem BR, Prins TR, Verhoeven EL, Bracale, Umberto M, Zeebregts, Clark J, Saleem, Ben R, Prins, Ted R, Verhoeven, Eric L G
Zdroj: Emergency Radiology; May2009, Vol. 16 Issue 3, p239-242, 4p
Abstrakt: The aim of the study was to describe the successful endovascular management of a patient who was admitted urgently with a second episode of acute abdominal aortic aneurysm (AAA) 30 months after emergency endovascular abdominal aortic aneurysm repair (eEVAR) for a ruptured AAA. The patient, an 84 year-old male physician, presented with severe acute abdominal and back pain. Contrast-enhanced computer tomography scanning showed type III endoleak owing to complete disconnection of both graft limbs and the prosthetic main body. Treatment consisted of acute stent-grafting with two bridging stent-grafts to seal the endoleak and reline the graft. The patient is alive and well 6 months postoperatively. This case indicates the need for follow-up after eEVAR, but also that complications can be managed endovascularly. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index