A Case Report of Endoleak type Ib and IIIa Combination after Endovascular Subrenal Aneurysm Repair

Česká verzia

Authors: S. Jiška; T. Daněk; Z. Bělobrádek; D. Dobeš ¹; J. Raupach ²
Authors place of work: Chirurgická klinika Lékařské fakulty UK v Hradci Králové a Fakultní nemocnice Hradec Králové, přednosta: doc. MUDr. A. Ferko, CSc. ; Fakulta vojenského zdravotnictví Univerzity obrany v Hradci Králové, děkan: plk. prof. MUDr. R. Prymula, Ph. D. ¹; Radiologická klinika Lékařské fakulty UK v Hradci Králové a Fakultní nemocnice Hradec Králové, přednosta: prof. MUDr. P. Eliáš, Ph. D. ²
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 1, s. 24-27.
Category: Monothematic special - Original

Summary

Authors describe a case report of complications and theirs solutions after endovascular abdominal aneurysm repair. There was symptomatic progression of aneurysmal sac due to endoleak type Ib in this patient 4 years after successful stentgraft treatment. Endovascular treatment was done with optimal effect, but aneurysm sac rupture had early become. The patient was urgently operated. The cause of the rupture was endoleak type IIIa, that was diagnosed perioperatively. This complication was solved with direct suture of disconnected parts of stentgraft. Despite of postoperative complications the patient vas released home in a good condition after 23 days of hospital staying. Endoleaks and their management are discussed in the article.

Key words:
aneurysm of subrenal aorta – stentgraft – endoleak – aneurysm rupture

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