Infrarenal abdominal aortic aneurysm complicated by persistent endotension after endovascular repair: report of a case
| Autor: | Hironori Tanaka, Ryuji Iwaki, Takashi Ozaki, Hitoshi Yamada, Takamichi Saito, Atsushi Imamura, Yasushi Koike, Yasuo Kamiyama |
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| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Attachment site Risk Assessment Severity of Illness Index Computed tomographic Blood Vessel Prosthesis Implantation Aneurysm Postoperative Complications Renal Artery Side branch medicine.artery medicine Pressure Humans cardiovascular diseases Renal artery Aged Aged 80 and over Aortic aneurysm repair medicine.diagnostic_test business.industry Angiography Ultrasonography Doppler General Medicine Balloon Occlusion medicine.disease Abdominal aortic aneurysm Surgery Treatment Outcome cardiovascular system Stents Radiology business Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Surgery today. 35(10) |
| ISSN: | 0941-1291 |
| Popis: | Endoleak and endotension may prevent the successful exclusion of an aneurysm after endovascular aortic aneurysm repair (EVAR). The pressurization in the excluded aneurysm sac caused by endotension may lead to rupture of the aneurysm; however, the cause of endotension and its underlying mechanisms remain unclear. We report a case of infrarenal abdominal aortic aneurysm (AAA) complicated by persistent endotension after EVAR. Although no endoleaks were found on conventional double-phase computed tomographic scans, a thrombosed endoleak existed in the side branch and attachment site of the endograft. After treating the undetectable thrombosed endoleaks, physical examination revealed that the pressure of the excluded aneurysm had diminished, with shrinkage of the aneurysm. This case report suggests that a high-pressure undetectable type I or type II endoleak could be a major cause of endotension. Thus, postoperative evaluation of the attachment site of an endograft is important after EVAR. |
| Databáze: | OpenAIRE |
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