Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak
Joint Authors
Avgerinos, Konstantinos Ioannis
Lazaridis, Ioannis
Saratzis, Nikolaos
Melas, Nikolaos
Saratzis, Athanasios
Tympanidou, Marianthi V.
Source
Case Reports in Vascular Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-24
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We report a case of a ruptured abdominal aortic aneurysm (AAA) caused by a combined type IIIb and Ia endoleak.
Also, we propose the mechanism that resulted in this combined endoleak.
Specifically, a 71-year old-man, with a previous history of endovascular aneurysm repair (EVAR) for an AAA, was diagnosed with a contained rupture.
CT scan depicted a type Ia endoleak and a migrated Talent endograft.
A proximal aortic cuff sealed the endoleak, but intraoperative angiography revealed that a type IIIb endoleak coexisted due to fabric tear close to the Talent bifurcation.
A second aortic cuff could not seal the fabric tear; so, in-lay parallel limbs were sequentially deployed as a “kissing endograft” technique inside the cuff.
Simultaneous treatment of combined type IIIb and Ia endoleaks has not yet been described.
Maybe the type IIIb endoleak is the primary entity causing sac enlargement, neck recontouring, proximal migration, and ultimately type Ia endoleak, which leads to huge enlargement and rupture.
Placement of an aortic cuff to seal the proximal endoleak/migration and kissing endografts limbs for the fabric tear seems a safe option in such patients.
American Psychological Association (APA)
Avgerinos, Konstantinos Ioannis& Melas, Nikolaos& Saratzis, Athanasios& Tympanidou, Marianthi V.& Saratzis, Nikolaos& Lazaridis, Ioannis. 2018. Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak. Case Reports in Vascular Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1151589
Modern Language Association (MLA)
Avgerinos, Konstantinos Ioannis…[et al.]. Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak. Case Reports in Vascular Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1151589
American Medical Association (AMA)
Avgerinos, Konstantinos Ioannis& Melas, Nikolaos& Saratzis, Athanasios& Tympanidou, Marianthi V.& Saratzis, Nikolaos& Lazaridis, Ioannis. Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak. Case Reports in Vascular Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1151589
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151589