"Unpredictable" late rupture of an abdominal aortic aneurysm after bifurcated Ancure endograft repair.
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.
Rosen
Noah A
NA
Department of Surgery New York University Medical Center, New York, New York, USA. noah.rosen@comcast.net
Cayne
Neal S
NS
Macari
Michael
M
Jacobowitz
Glenn R
GR
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
D003287:Contrast Media