Document Detail


Abdominal aortic endograft proximal collapse resulting in aortic aneurysm rupture.
MedLine Citation:
PMID:  21652668     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
An 82-year-old man was transferred to our emergency department due to acute abdominal pain. He had undergone an endovascular abdominal aortic aneurysm repair (EVAR) six years ago. An intravenous contrast-enhanced abdominal computed tomography revealed the rupture of the abdominal aortic aneurysm (AAA) with a large retroperitoneal hematoma. A Talent (Medtronic, Santa Rosa, CA, USA) modular bifurcated endoprosthesis had vertically collapsed approximately 7 cm after losing its infrarenal fixation. As a result, it led to the repressurization of the aneurysm sac and rupture. The patient was successfully treated by placing three Talent (Medtronic) aortic cuffs. To our knowledge, this is the first reported case of endograft collapse that has manifested with aortic aneurysm rupture. Although they are gradually declining, considerable rates of complications create the 'Achilles' heel' of endovascular repair of AAAs. A lifelong follow-up strategy for patients treated for AAA with EVAR is essential for the early detection and treatment of complications of the procedure.
Authors:
Konstantinos G Moulakakis; Ilias Dalainas; Triantafillos G Giannakopoulos; Efthimios Avgerinos; Christos D Liapis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular     Volume:  19     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-06-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  England    
Other Details:
Languages:  eng     Pagination:  159-62     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece.
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