Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac
Endovascular aneurysm repair (EVAR) has been widely accepted as a safe and effective treatment for abdominal aortic aneurysm. Endoleaks are the most common complication after EVAR and require urgent interventions. Usually endoleaks can be treated with endovascular procedures using a variety of techn...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-09-01
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| Series: | İstanbul Kuzey Klinikleri |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-79037 |
| _version_ | 1797923989074477056 |
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| author | Cemal Kocaaslan Mustafa Aldag Tamer Kehlibar Mehmet Yilmaz Ebuzer Aydin Bulend Ketenci |
| author_facet | Cemal Kocaaslan Mustafa Aldag Tamer Kehlibar Mehmet Yilmaz Ebuzer Aydin Bulend Ketenci |
| author_sort | Cemal Kocaaslan |
| collection | DOAJ |
| description | Endovascular aneurysm repair (EVAR) has been widely accepted as a safe and effective treatment for abdominal aortic aneurysm. Endoleaks are the most common complication after EVAR and require urgent interventions. Usually endoleaks can be treated with endovascular procedures using a variety of techniques. Despite these interventions, if the endoleak still persists, conventional open surgery should be evaluated. A 67-year-old man had been treated with EVAR after a ruptured abdominal aortic aneurysm 7 years ago. Later on, a type II endoleak was detected due to the inferior mesenteric artery and treated with coil embolization at the first follow-up year. The patient was admitted to our emergency department due to abdominal pain. Computed tomography angiography demonstrated a type Ia endoleak from the posterior side of the graft with a huge abdominal aortic aneurysm sac (22.9 cm) without rupture. The patient was hemodynamically unstable, and open surgical repair was performed via left anterolateral thoracotomy and laparotomy. Here we report a case where we performed open repair of a type Ia endoleak and discuss the repairing techniques for type Ia endoleak in the light of the literature. |
| first_indexed | 2024-04-10T14:54:43Z |
| format | Article |
| id | doaj.art-a7a3df727a76469f846ee4a34636c7df |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T14:54:43Z |
| publishDate | 2018-09-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-a7a3df727a76469f846ee4a34636c7df2023-02-15T16:07:26ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022018-09-015326126310.14744/nci.2017.79037NCI-79037Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sacCemal Kocaaslan0Mustafa Aldag1Tamer Kehlibar2Mehmet Yilmaz3Ebuzer Aydin4Bulend Ketenci5Department of Cardiovascular Surgery, Istanbul Medeniyet University Faculty of Medicine, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medeniyet University Faculty of Medicine, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medeniyet University Faculty of Medicine, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyEndovascular aneurysm repair (EVAR) has been widely accepted as a safe and effective treatment for abdominal aortic aneurysm. Endoleaks are the most common complication after EVAR and require urgent interventions. Usually endoleaks can be treated with endovascular procedures using a variety of techniques. Despite these interventions, if the endoleak still persists, conventional open surgery should be evaluated. A 67-year-old man had been treated with EVAR after a ruptured abdominal aortic aneurysm 7 years ago. Later on, a type II endoleak was detected due to the inferior mesenteric artery and treated with coil embolization at the first follow-up year. The patient was admitted to our emergency department due to abdominal pain. Computed tomography angiography demonstrated a type Ia endoleak from the posterior side of the graft with a huge abdominal aortic aneurysm sac (22.9 cm) without rupture. The patient was hemodynamically unstable, and open surgical repair was performed via left anterolateral thoracotomy and laparotomy. Here we report a case where we performed open repair of a type Ia endoleak and discuss the repairing techniques for type Ia endoleak in the light of the literature.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-79037abdominal aortic aneurysmendovascular procedures; reoperation; type ia endoleak. |
| spellingShingle | Cemal Kocaaslan Mustafa Aldag Tamer Kehlibar Mehmet Yilmaz Ebuzer Aydin Bulend Ketenci Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac İstanbul Kuzey Klinikleri abdominal aortic aneurysm endovascular procedures; reoperation; type ia endoleak. |
| title | Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac |
| title_full | Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac |
| title_fullStr | Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac |
| title_full_unstemmed | Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac |
| title_short | Open repair of a type Ia endoleak with a giant abdominal aortic aneurysm sac |
| title_sort | open repair of a type ia endoleak with a giant abdominal aortic aneurysm sac |
| topic | abdominal aortic aneurysm endovascular procedures; reoperation; type ia endoleak. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-79037 |
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