Re-Rupture 2 Years after Endovascular Aortic Aneurysm Repair Rupture

Author:

Moulakakis Konstantinos G1ORCID,Tsimpoukis Andreas1,Katsanos Konstantinos2,Sintou Eleni3,Papadoulas Spyros1

Affiliation:

1. Vascular Surgery Department, Patras University Hospital, Patras, Greece

2. Department of Interventional Radiology, Patras University Hospital, Patras, Greece

3. Department of Anesthesia, Patras University Hospital, Patras, Greece

Abstract

Re-rupture 2 years after endovascular aortic aneurysm repair (EVAR) rupture is an extremely rare event and limited data exist in the literature. We present an interesting case of a patient with an abdominal aortic rupture that had undergone 2 years before an endovascular repair for rupture after EVAR due to a type IA endoleak. The patient underwent a successful embolization of the type IA endoleak. Onyx was used to seal the gutter between the aortic wall and the endograft and the 1-month post-embolization CT showed complete sealing with no contrast in the sac. Two years after the rupture, he was presented again with clinical signs of hemodynamic shock and instability. An urgent CT Angiograph showed again rupture due to a type IA endoleak. The patient underwent an emergency open laparotomy. We analyze the re-rupture after EVAR while taking data from the literature into account.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

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