Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair
Abstract Despite technological advances, the long-term outcomes of endovascular aortic aneurysm repair (EVAR) are still debatable. Although most endograft failures after EVAR can be corrected with endovascular techniques, open conversion may still be required. A 70-year-old male patient presented a...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
|
| Series: | Jornal Vascular Brasileiro |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000100066&lng=en&tlng=en |
| _version_ | 1811269582989557760 |
|---|---|
| author | Erol Kurç Onur Sokullu Serdar Akansel Murat Sargın |
| author_facet | Erol Kurç Onur Sokullu Serdar Akansel Murat Sargın |
| author_sort | Erol Kurç |
| collection | DOAJ |
| description | Abstract Despite technological advances, the long-term outcomes of endovascular aortic aneurysm repair (EVAR) are still debatable. Although most endograft failures after EVAR can be corrected with endovascular techniques, open conversion may still be required. A 70-year-old male patient presented at the emergency unit with abdominal pain. Twice, in the third and fourth years after the first repair, a stent graft had been placed over a non-adhesive portion of the stent graft due to type Ia endoleaks. In the most recent admission, a CT scan showed type III endoleak and ruptured aneurysm sac. On this occasion the patient underwent late open conversion. The failure was repaired with total preservation of the main endovascular graft body and interposition of a bifurcated dacron graft. This case demonstrates that lifelong radiographic surveillance should be considered in this subset of patients. Late open conversion following EVAR of ruptured abdominal aortic aneurysms can be performed safely. |
| first_indexed | 2024-04-12T21:44:40Z |
| format | Article |
| id | doaj.art-a94d2731e70446aeb3715936ee43bfb9 |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-04-12T21:44:40Z |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-a94d2731e70446aeb3715936ee43bfb92022-12-22T03:15:41ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-7301171667010.1590/1677-5449.008017S1677-54492018000100066Late open conversion in ruptured abdominal aortic aneurysm after endovascular repairErol KurçOnur SokulluSerdar AkanselMurat SargınAbstract Despite technological advances, the long-term outcomes of endovascular aortic aneurysm repair (EVAR) are still debatable. Although most endograft failures after EVAR can be corrected with endovascular techniques, open conversion may still be required. A 70-year-old male patient presented at the emergency unit with abdominal pain. Twice, in the third and fourth years after the first repair, a stent graft had been placed over a non-adhesive portion of the stent graft due to type Ia endoleaks. In the most recent admission, a CT scan showed type III endoleak and ruptured aneurysm sac. On this occasion the patient underwent late open conversion. The failure was repaired with total preservation of the main endovascular graft body and interposition of a bifurcated dacron graft. This case demonstrates that lifelong radiographic surveillance should be considered in this subset of patients. Late open conversion following EVAR of ruptured abdominal aortic aneurysms can be performed safely.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000100066&lng=en&tlng=enaneurisma roto da aorta abdominalEVARconversão tardia para cirurgia abertareintervenção |
| spellingShingle | Erol Kurç Onur Sokullu Serdar Akansel Murat Sargın Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair Jornal Vascular Brasileiro aneurisma roto da aorta abdominal EVAR conversão tardia para cirurgia aberta reintervenção |
| title | Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair |
| title_full | Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair |
| title_fullStr | Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair |
| title_full_unstemmed | Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair |
| title_short | Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair |
| title_sort | late open conversion in ruptured abdominal aortic aneurysm after endovascular repair |
| topic | aneurisma roto da aorta abdominal EVAR conversão tardia para cirurgia aberta reintervenção |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492018000100066&lng=en&tlng=en |
| work_keys_str_mv | AT erolkurc lateopenconversioninrupturedabdominalaorticaneurysmafterendovascularrepair AT onursokullu lateopenconversioninrupturedabdominalaorticaneurysmafterendovascularrepair AT serdarakansel lateopenconversioninrupturedabdominalaorticaneurysmafterendovascularrepair AT muratsargın lateopenconversioninrupturedabdominalaorticaneurysmafterendovascularrepair |