Open Repair of a Complicated Late Endoleak Induced by Another Endoleak
Makaleler > Tam Makale · 2022
Yazarlar: Anıl Ziya APAYDIN, Serkan ERTUGAY, Ümit KAHRAMAN, Osman Nuri TUNCER
Texas Heart Institute Journal, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2022, cilt 49
Özet
<p>A 66-year-old man had an enlarging aortic aneurysm sac after an endovascular aortic replacement</p><p>procedure that had been performed at another institution 4 years previously; it</p><p>was without any endoleak but was complicated by the occlusion of the left limb, requiring</p><p>cross-femoral bypass. Current computed tomography revealed dilatation of the proximal</p><p>neck and the right common iliac artery. A type Ib endoleak was found from the distal end of</p><p>the right limb of the endograft, possibly secondary to the dilatation of the artery around it; it</p><p>then pressurized and caused the dilatation of the juxtarenal aorta around the proximal landing</p><p>zone and induced a concomitant type Ia endoleak. The patient was operated on owing</p><p>to the risk of rupture. Pelvic ischemia was a concern during decision-making. The patient</p><p>underwent removal of the endograft and replacement of a bifurcated aortoiliac and femoral</p><p>graft with good outcome. Midline laparotomy and a supraceliac clamping approach enable</p><p>the removal of endografts with suprarenal fixation and revascularization of internal iliac arteries.</p><p>Open repair offers a definitive solution for complicated endoleaks when endovascular</p><p>options could be risky and ineffective.</p>