Novel technique for endovascular salvage of a folded aortic endograft.
Endovascular aneurysm repair (EVAR) has been established as a safe and effective treatment modality for infrarenal abdominal aortic aneurysms. Endograft migration resulting in a proximal type I endoleak can be one of the most difficult challenges following EVAR. Often, this precludes endovascular treatment and necessitates conversion to open surgical repair. We report a case of a high-risk patient who presented with impending abdominal aortic aneurysm rupture as a result of endograft migration following EVAR performed 5 years prior. The endograft had folded over on itself within the aneurysm sac and was successfully repaired using a total endovascular approach.
Ricotta
Joseph J
JJ
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn 55905, USA. ricotta.joseph@mayo.edu
Malgor
Rafael D
RD
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D002404:Catheterization; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D015641:Radiography, Interventional; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome