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Ann Surg Treat Res. 2014 Mar;86(3):161-164. English. Case Report. https://doi.org/10.4174/astr.2014.86.3.161
Lee MI , Shin WY , Choe YM , Park JY , Kim JY , Jeon YS , Cho SG , Hong KC .
Department of Surgery, Inha University School of Medicine, Incheon, Korea. keechong@inha.ac.kr
Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Division of Vascular Surgery, Department of Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea.
Department of Radiology, Inha University School of Medicine, Incheon, Korea.
Abstract

Endotension is an unpredictable late complication of endovascular aortic aneurysm repair (EVAR). This case report will discuss the successful treatment of enlarged aneurysmal sac due to endotension using the relining technique. An 81-year-old male complained of nondecreasing huge aneurysm sac. He had undergone EVAR for infrarenal abdominal aortic aneurysm 7 years prior and no endoleak was found through follow-up. Initially computed tomography-guided sac aspiration was tried, but in vain, Relining using the double barrel technique and tubular endograft for modular diconnection, which was unexpectedly found in the original endograft, were performed sucessfully. During follow-up after the relining procedure, the size of aneurysm sac continued to decrease in size. The relining technique is effective mothod for treating endotension.

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