J Korean Soc Vasc Surg.
2008 May;24(1):52-55.
Delayed Open Repair for Persistent Type I Endoleak after EVAR: A Case Report
- Affiliations
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- 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. tslee@snubh.org
- 2Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- Endovascular aneurysm repair (EVAR) is used with increasing frequency in the management of high-risk abdominal aortic aneurysm (AAA) patients. We report a delayed open repair for a persistent type I endoleak after EVAR in a patient with co-morbidities. An infrarenal AAA with a transverse diameter of 9.86 cm was detected on CT angiography; it extended from 8 mm below the renal artery to both common iliac arteries. The infrarenal angle was 90 degrees. After insertion of a Zenith stent graft (COOK, USA), a type I endoleak was detected on aortography, and several balloon dilatations were performed. The procedure was finished with a sustained type I endoleak. The endoleak persisted after 5 days on Doppler ultrasound, so open repair was performed. Total operative time was 240 minutes, and the duration of supra-celiac aorta clamping was approximately 35 minutes. The patient suffered an acute myocardial infarction on postoperative day 7 and recovered with conservative management. The patient was discharged on postoperative day 29.