Surgery for a late type Ⅲb endoleak from a fabric tear of an Excluder stent graft

An 85-year-old, who had undergone endovascular abdominal aortic aneurysm repair (EVAR) using the Gore Excluder stent graft ten years ago, was referred for intermittent abdominal pain. He also received coil embolization of the lumbar arteries for a persistent type Ⅱ endoleak resulting in continued aneurysmal dilation at 4, 6, and 8 years after the EVAR. The maximum size of the aneurysm sac was dilated from initial size of 49 mm × 55 mm to 78 mm ×90mm, and contrast medium was observed around proximal portion of the stent graft, suggesting the presence of t ype Ⅰa or II endoleak.

Source: Annals of Vascular Surgery - February 22, 2019 Category: Surgery Authors: Jiro Matsuo, Atsushi Omura, Hitoshi Matsuda, Junjiro Kobayashi Tags: Case Report Source Type: research