Endotension-related aortic sac rupture treated by endograft relining.

Abstract:

:Endovascular aortic aneurysm repair is an effective alternative to open surgical repair in high risk patient. Endotension is an unpredictable late and rare complication of EVAR. Clinical significance and choice of technique for treatment are controversial. At present, there are no cases of endotension-related aneurysmal sac rupture reported in literature, altough it is frequently associated with late surgical conversion. In this case report is described a case of a patient treated with a first generation Gore Excluder(TM) endograft for abdominal aortic aneurysm, with late aneurysmal sac enlargement without evidence of endoleak and subsequent contained rupture without anemia and shock. We have successfully treated the patient by endovascular procedure, through bilateral percutaneous femoral approach, with relining technique. Three years CT scan follow-up showed the endograft patency and size sac reduction.

journal_name

Vascular

journal_title

Vascular

authors

Filippi F,Tirotti C,Stella N,Rizzo L,Taurino M

doi

10.1177/1708538113478725

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

113-5

issue

2

eissn

1708-5381

issn

1708-539X

pii

1708538113478725

journal_volume

21

pub_type

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