title: "Unpredictable" late rupture of an abdominal aortic aneurysm after bifurcated Ancure endograft repair.
abstract: The goal of endovascular repair of an abdominal aortic aneurysm is to exclude the aneurysm from systemic arterial pressure, thereby preventing rupture. However, the long-term durability of endovascular repair continues to be in question, as aneurysm rupture after endovascular repair continues to be reported. We report the case of an 89-year-old patient who underwent endovascular repair of a 7.1-cm abdominal aortic aneurysm with an Ancure endograft 5 years earlier. Despite close follow-up and a shrinking aneurysm sac on annual contrast-enhanced computed tomography, he presented with aneurysm rupture and a new proximal type I endoleak. The endoleak and rupture were successfully repaired with endovascular placement of a main body extension.
authors.affiliation: Department of Surgery New York University Medical Center, New York, New York, USA. noah.rosen@comcast.net
authors.forename: Noah A
authors.initials: NA
authors.lastname: Rosen
authors.forename: Neal S
authors.initials: NS
authors.lastname: Cayne
authors.forename: Michael
authors.initials: M
authors.lastname: Macari
authors.forename: Glenn R
authors.initials: GR
authors.lastname: Jacobowitz
mesh_terms: D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003287:Contrast Media; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media