Delayed Open Repair for Persistent Type I Endoleak after EVAR: A Case Report.
- Author:
Bang Wool EOM
1
;
Taeseung LEE
;
Chang Jin YOON
;
Seong Kwon KANG
;
Seung Kee MIN
;
In Mok JUNG
;
Jongwon HA
;
Jung Kee CHUNG
;
Sang Joon KIM
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. tslee@snubh.org
- Publication Type:Case Report
- Keywords:
Endovascular aneurysm repair (EVAR);
Type I endoleak;
Delayed open repair
- MeSH:
Aneurysm;
Aorta;
Aortic Aneurysm, Abdominal;
Aortography;
Constriction;
Dilatation;
Endoleak;
Humans;
Iliac Artery;
Myocardial Infarction;
Operative Time;
Renal Artery;
Stents;
Transplants
- From:Journal of the Korean Society for Vascular Surgery
2008;24(1):52-55
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endovascular aneurysm repair (EVAR) is used with increasing frequency in the management of high-risk abdominal aortic aneurysm (AAA) patients. We report a delayed open repair for a persistent type I endoleak after EVAR in a patient with co-morbidities. An infrarenal AAA with a transverse diameter of 9.86 cm was detected on CT angiography; it extended from 8 mm below the renal artery to both common iliac arteries. The infrarenal angle was 90 degrees. After insertion of a Zenith stent graft (COOK, USA), a type I endoleak was detected on aortography, and several balloon dilatations were performed. The procedure was finished with a sustained type I endoleak. The endoleak persisted after 5 days on Doppler ultrasound, so open repair was performed. Total operative time was 240 minutes, and the duration of supra-celiac aorta clamping was approximately 35 minutes. The patient suffered an acute myocardial infarction on postoperative day 7 and recovered with conservative management. The patient was discharged on postoperative day 29.
