Surgery for a Late Type IIIb Endoleak From a Fabric Tear of an Excluder Stent Graft

An 85-year-old male patient, who had undergone endovascular abdominal aortic aneurysm repair (EVAR) using the Gore Excluder stent graft 10 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 the initial size of 49 mm × 55 mm to 78 mm × 90 mm, and the contrast medium was observed around the proximal portion of the stent graft, suggesting the presence of a type Ia or II endoleak.

Source: Annals of Vascular Surgery - February 21, 2019 Category: Surgery Authors: Jiro Matsuo, Atsushi Omura, Hitoshi Matsuda, Junjiro Kobayashi Tags: Case Report Source Type: research