Relining technique for continuous sac enlargement and modular disconnection secondary to endotension after endovascular aortic aneurysm repair.
Endotension is an unpredictable late complication of endovascular aortic aneurysm repair (EVAR). This case report will discuss the successful treatment of enlarged aneurysmal sac due to endotension using the relining technique. An 81-year-old male complained of nondecreasing huge aneurysm sac. He had undergone EVAR for infrarenal abdominal aortic aneurysm 7 years prior and no endoleak was found through follow-up. Initially computed tomography-guided sac aspiration was tried, but in vain, Relining using the double barrel technique and tubular endograft for modular diconnection, which was unexpectedly found in the original endograft, were performed sucessfully. During follow-up after the relining procedure, the size of aneurysm sac continued to decrease in size. The relining technique is effective mothod for treating endotension.
Department of Surgery, Inha University School of Medicine, Incheon, Korea.
Moon Il
MI
Lee
Department of Surgery, Inha University School of Medicine, Incheon, Korea.
Woo Young
WY
Shin
Department of Surgery, Inha University School of Medicine, Incheon, Korea.
Yun Mee
YM
Choe
Division of Vascular Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Jae Young
JY
Park
Division of Vascular Surgery, Department of Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea.
Jang Yong
JY
Kim
Department of Radiology, Inha University School of Medicine, Incheon, Korea.
Yong Sun
YS
Jeon
Department of Radiology, Inha University School of Medicine, Incheon, Korea.
Soon Gu
SG
Cho
Department of Surgery, Inha University School of Medicine, Incheon, Korea.
Kee Chun
KC
Hong
Aortic aneurysm; Complication; Endoleak; Endovascular procedures