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KMID : 0371420140860030161
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Annals of Surgical Treatment and Research
2014 Volume.86 No. 3 p.161 ~ p.164
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Relining technique for continuous sac enlargement and modular disconnection secondary to endotension after endovascular aortic aneurysm repair
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Lee Moon-Il
Shin Woo-Young
Choe Yun-Mee
Park Jae-Young
Kim Jang-Yong
Jeon Yong-Sun
Cho Soon-Gu
Hong Kee-Chun
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Abstract
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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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KEYWORD
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Aortic aneurysm, Endovascular procedures, Endoleak, Complication
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