Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
| Autor: | Hisao Suda, Toshiyuki Yamada, Yosuke Nakai, Kengo Ohta, Baku Takahashi, Yoshiharu Mori, Shinji Kamiya, Akira Mishima |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report Computed tomography 030204 cardiovascular system & hematology Aortic repair Endovascular aneurysm repair 03 medical and health sciences 0302 clinical medicine Aneurysm medicine vasa vasorum cardiovascular diseases endovascular aortic repair Surgical repair medicine.diagnostic_test atypical endoleak business.industry General Medicine medicine.disease Surgery medicine.anatomical_structure 030228 respiratory system Vasa vasorum cardiovascular system Ligation business Artery |
| Zdroj: | Annals of Vascular Diseases |
| ISSN: | 1881-6428 1881-641X |
| Popis: | A 75-year-old man underwent emergent endovascular aortic repair for a ruptured abdominal aortic aneurysm. Two years later, computed tomography revealed aneurysm enlargement with endoleaks. Next, late open conversion was performed. Intraoperatively, we detected a spurting type II endoleak from an artery within the aneurysmal wall, which was unconnected to any branch vessels outside the aneurysm, and surgical ligation and sacotomy was performed uneventfully. To our knowledge, this is the first report to intraoperatively identify a type II endoleak from an artery within the aneurysm wall. Even for atypical type II endoleak, such as this case, open surgical repair should be effective. |
| Databáze: | OpenAIRE |
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