J Korean Surg Soc.  2011 Jun;80(Suppl 1):S67-S70. 10.4174/jkss.2011.80.Suppl1.S67.

Experience of non-vascular complications following endovascular aneurysm repair for abdominal aortic aneurysm

• Park HS
• Jung IM
• Soh YH
• Cho BS
• Ahn YJ
• Chung JK

• KMID: 2096655
• DOI: http://doi.org/10.4174/jkss.2011.80.Suppl1.S67

Abstract

Endovascular aneurysm repair (EVAR) for the treatment of abdominal aortic aneurysm (AAA) is a widely used method, and its decreased invasiveness compared to traditional surgical repair has brought about reduced rates of morbidity and mortality. Several vascular complications related to the procedure have been reported, but non-vascular complications have rarely occurred. We report herein the case of a 78-year-old man who underwent EVAR for AAA and presented with active duodenal ulcer bleeding and acute acalculous cholecystitis as complications after the procedure. We must consider that a wide spectrum of complications may occur following EVAR, and therefore it is important to evaluate the risks of complication and to take the necessary measures to minimize them.

Keyword

Complication; Endovascular aneurysm repair; Abdominal aortic aneurysm

MeSH Terms

Acalculous Cholecystitis
Aged
Aneurysm
Aortic Aneurysm, Abdominal
Duodenal Ulcer
Hemorrhage
Humans

Figure

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  Fig. 1 Maximum intensity projection image shows infrarenal aortic aneurysm involving bilateral common iliac artery and proximal portion of right external iliac artery.

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  Fig. 2 Follow-up CT angiography at the level of proximal portion of iliac limb shows contrast in the sac consistent with an endoleak.

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  Fig. 3 Computed tomography scan revealed active bleeding from the duodenum second portion and gallbladder wall thickening with pericholecystic abscess and infiltration (arrow).

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  Fig. 4 (A) Selective gastroduodenalarteriography shows an arterial bleeding of the duodenum. Multiple endoscopic clips were noted. (B) Bleeding is controlled by embolization using a mixture of glue/lipiodol and gelfoam.

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  Fig. 5 Maximum intensity projection image shows result of aortic stent graft insertion. Inferior vena cava filter was inserted due to previous deep vein thrombosis.

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