|
KMID : 0904020080240010052
|
|
Journal of Korean Society for Vascular Surgery
2008 Volume.24 No. 1 p.52 ~ p.55
|
|
|
Delayed Open Repair for Persistent Type I Endoleak after EVAR
|
|
Eom Bang-Wool
Lee Tae-Seung
Yoon Chang-Jin
Kang Sung-Gwon
Min Seung-Kee
Jung In-Mok
Ha Jong-Won
Chung Jung-Kee
Kim Sang-Joon
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Endovascular aneurysm repair (EVAR), Type I endoleak, Delayed open repair
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|