Treatment of an early type II endoleak causing hemorrhage after endovascular aneurysm repair for ruptured abdominal aortic aneurysm.
We report a case of ruptured abdominal aortic aneurysm emergently treated by endovascular aneurysm repair (EVAR) that developed a primary type II endoleak leading to persistent blood loss and retroperitoneal hematoma increase. Coil embolization resolved this. Although to our knowledge there are no recommendations regarding this, our report suggests that early type II endoleaks occurring after emergency EVAR for ruptured AAA should be treated when it is associated with blood extravasation outside the aneurysm sac.
Hartung
Olivier
O
Department of Vascular Surgery, North University Hospital, Marseille, France. olivier.hartung@ap-hm.fr <olivier.hartung@ap-hm.fr>
Vidal
Vincent
V
Marani
Ivo
I
Saran
Anthony
A
Bartoli
Jean Michel
JM
Alimi
Yves S
YS
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D004638:Emergency Treatment; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology*; D014057:Tomography, X-Ray Computed