Delayed aortic aneurysm enlargement due to endotension after endovascular abdominal aortic aneurysm repair.

Abstract:

:Abdominal aortic aneurysm (AAA) enlarges after successful endovascular repair, because of persistent blood flow within the aneurysm sac, or endoleak. In the absence of detectable endoleak, AAA may still expand, in part because of persistent pressurization within the excluded aneurysm, or endotension. We report three patients who underwent successful endovascular AAA repair in whom postoperative surveillance showed aneurysm regression, yet delayed AAA enlargement without demonstrable endoleak developed in all three patients. Endotension was confirmed in all three patients at elective open conversion. Our study underscores the significance of endotension as a mechanism of delayed aneurysm enlargement after successful endovascular AAA repair.

journal_name

J Vasc Surg

authors

Lin PH,Bush RL,Katzman JB,Zemel G,Puente OA,Katzen BT,Lumsden AB

doi

10.1016/s0741-5214(03)00468-3

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

840-2

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741521403004683

journal_volume

38

pub_type

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