Endovascular repair of early rupture of Dacron aortic graft--two case reports.
Complications after open aortic surgery pose a challenge both to the vascular surgeon and the patient because of aging population, widespread use of cardiac revascularization, and improved survival after aortic surgery. The perioperative mortality rate for redo elective aortic surgery ranges from 5% to 29% and increases to 70-100% in emergency situation. Endovascular treatment of the postaortic open surgery (PAOS) patient has fewer complications and a lower mortality rate in comparison with redo open surgical repair. Two cases of ruptured abdominal aortic aneurysm (AAA) were managed with the conventional open surgical repair. Subsequently, spiral contrast computer tomography scans showed reperfusion of the AAA sac remnant mimicking a type III endoleak. These graft-related complications presented as vascular emergencies, and in both cases endovascular aneurysm repair (EVAR) procedure was performed successfully by aortouniiliac (AUI) stent graft and femorofemoral crossover bypass. These 2 patients add further merit to the cases reported in the English literature. This highlights the crucial importance of endovascular grafts in the management of such complex vascular problems.
Sultan
Sherif
S
Western Vascular Institute, Department of Vascular and Endovascular Surgery, University College Hospital, Galway, Ireland. sherifsultan@esatclear.ie
Heskin
Leonie
L
Oaikhinan
Kenneth
K
Hynes
Naimh
N
Akhter
Yousaf
Y
Courtney
Donald
D
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D011093:Polyethylene Terephthalates; D011475:Prosthesis Failure; D015607:Stents; D036542:Tomography, Spiral Computed
D011093:Polyethylene Terephthalates