Korean J Thorac Cardiovasc Surg.  2014 Feb;47(1):71-74.

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair

• Lim JH
• Sung YW
• Oh SJ
• Moon HJ
• Lee JS
• Choi JS

Abstract

For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

Keyword

Aneurysm; Aorta, abdominal; Stent; Rupture; Thrombosis

MeSH Terms

Aged
Aneurysm
Aorta, Abdominal
Aortic Aneurysm
Aortic Aneurysm, Abdominal*
Blood Vessel Prosthesis
Endovascular Procedures
Extremities*
Humans
Iliac Artery*
Rupture*
Stents
Thrombectomy
Thrombosis
Transplants*