Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair

A 75-year-old man underwent emergent endovascular aortic repair for a ruptured abdominal aortic aneurysm. Two years later, computed tomography revealed aneurysm enlargement with endoleaks. Next, late open conversion was performed. Intraoperatively, we detected a spurting type II endoleak from an art...

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Autores principales: Takahashi, Baku, Kamiya, Shinji, Ohta, Kengo, Mori, Yoshiharu, Yamada, Toshiyuki, Nakai, Yosuke, Suda, Hisao, Mishima, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758595/
https://www.ncbi.nlm.nih.gov/pubmed/33391572
http://dx.doi.org/10.3400/avd.cr.20-00109
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author Takahashi, Baku
Kamiya, Shinji
Ohta, Kengo
Mori, Yoshiharu
Yamada, Toshiyuki
Nakai, Yosuke
Suda, Hisao
Mishima, Akira
author_facet Takahashi, Baku
Kamiya, Shinji
Ohta, Kengo
Mori, Yoshiharu
Yamada, Toshiyuki
Nakai, Yosuke
Suda, Hisao
Mishima, Akira
author_sort Takahashi, Baku
collection PubMed
description A 75-year-old man underwent emergent endovascular aortic repair for a ruptured abdominal aortic aneurysm. Two years later, computed tomography revealed aneurysm enlargement with endoleaks. Next, late open conversion was performed. Intraoperatively, we detected a spurting type II endoleak from an artery within the aneurysmal wall, which was unconnected to any branch vessels outside the aneurysm, and surgical ligation and sacotomy was performed uneventfully. To our knowledge, this is the first report to intraoperatively identify a type II endoleak from an artery within the aneurysm wall. Even for atypical type II endoleak, such as this case, open surgical repair should be effective.
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spelling pubmed-77585952020-12-31 Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair Takahashi, Baku Kamiya, Shinji Ohta, Kengo Mori, Yoshiharu Yamada, Toshiyuki Nakai, Yosuke Suda, Hisao Mishima, Akira Ann Vasc Dis Case Report A 75-year-old man underwent emergent endovascular aortic repair for a ruptured abdominal aortic aneurysm. Two years later, computed tomography revealed aneurysm enlargement with endoleaks. Next, late open conversion was performed. Intraoperatively, we detected a spurting type II endoleak from an artery within the aneurysmal wall, which was unconnected to any branch vessels outside the aneurysm, and surgical ligation and sacotomy was performed uneventfully. To our knowledge, this is the first report to intraoperatively identify a type II endoleak from an artery within the aneurysm wall. Even for atypical type II endoleak, such as this case, open surgical repair should be effective. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2020-12-25 /pmc/articles/PMC7758595/ /pubmed/33391572 http://dx.doi.org/10.3400/avd.cr.20-00109 Text en © 2020 The Editorial Committee of Annals of Vascular Diseases. http://creativecommons.org/licenses/by/2.5/ This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Takahashi, Baku
Kamiya, Shinji
Ohta, Kengo
Mori, Yoshiharu
Yamada, Toshiyuki
Nakai, Yosuke
Suda, Hisao
Mishima, Akira
Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
title Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
title_full Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
title_fullStr Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
title_full_unstemmed Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
title_short Intraoperative Findings of an Atypical Type II Endoleak from an Artery within the Aneurysmal Wall after Endovascular Aneurysm Repair
title_sort intraoperative findings of an atypical type ii endoleak from an artery within the aneurysmal wall after endovascular aneurysm repair
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758595/
https://www.ncbi.nlm.nih.gov/pubmed/33391572
http://dx.doi.org/10.3400/avd.cr.20-00109
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