Efficacy of contrast-enhanced ultrasonography in detecting graft rupture sites after abdominal aortic aneurysm repair.
Non-anastomotic graft rupture is a rare but critical complication after abdominal aortic aneurysm (AAA) repair. Therefore, identifying the rupture sites is important to perform endovascular stent grafting. A 78-year old man who had undergone Y-grafting for infrarenal AAA before 17 years was referred to our hospital with the complaints of abdominal pain. Computed tomography revealed acute pancreatitis and an enlargement around the grafted abdominal aorta. Contrast-enhanced ultrasonography revealed an extravazation from the graft body 1.5 cm distal to the proximal anastomosis, and endovascular stent grafting was successfully performed. Contrast-enhanced ultrasonography might be useful in detecting the graft rupture.
Department of Cardiovascular Surgery, Japanese Red Cross Okayama Hospital, Okayama, Japan.
Koji
K
Nakanishi
Ryoji
R
Watanabe
Shuji
S
Shimizu
Mikizo
M
Nakai
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D003287:Contrast Media; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D005290:Ferric Compounds; D006801:Humans; D007501:Iron; D008297:Male; D010087:Oxides; D011237:Predictive Value of Tests; D011475:Prosthesis Failure; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
D003287:Contrast Media; D005290:Ferric Compounds; D010087:Oxides; C069727:Sonazoid; D007501:Iron
Abdominal; Aortic aneurysm; Contrast-enhanced ultrasonography; Endovascular procedures; Graft rupture