Multiple endovascular aortic aneurysm repair graft failures and re-interventions over 15 years

Author:

Belchos Jessica1,Wheatcroft Mark12,Moloney Tony12

Affiliation:

1. Division of Vascular Surgery, St. Michael’s Hospital, Toronto, ON, Canada

2. Department of Surgery, University of Toronto, Toronto, ON, Canada

Abstract

Re-intervention on abdominal aortic aneurysm treated by endovascular aortic aneurysm repair for complications such as endoleak, graft migration, and graft failure is relatively common. However, re-do endovascular aortic aneurysm repair can be complex, as the failed graft still resides within the vessel. In addition, some re-do endovascular aortic aneurysm repairs call for an advanced custom graft, which can further increase the complexity and technical skill required. We describe a case of a 15-year-old endovascular aortic aneurysm repair originally implanted in a 71-year-old man, followed by three separate complications requiring intervention. We describe important procedural decisions taken into consideration when presented with failure of an older graft.

Publisher

SAGE Publications

Subject

General Medicine

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