title: Late aneurysm rupture after delayed secondary open conversion with partial explantation for failed endovascular repair.
abstract: A delayed secondary open conversion (SOC) after endovascular aneurysm repair may be necessary due to a failing graft. Many surgical techniques can be performed, and one such approach is partial explantation of the graft with resuturing of a new graft to the retained components of the endograft. No guidelines exist with regards to the follow-up of retained endovascular components after a delayed SOC. The theoretical risk of endoleaks remains with retained components, and this case demonstrates the development of a type Ib endoleak after SOC leading to free flow of blood into a partially resected aneurysm sac and causing a symptomatic aneurysm rupture.
authors.affiliation: Regional Vascular Unit, Royal Victoria Hospital, Belfast, United Kingdom. Electronic address: clairem84@doctors.net.uk.
authors.forename: Claire
authors.initials: C
authors.lastname: McManus
authors.affiliation: Department of Radiology, Belfast City Hospital, Belfast, United Kingdom.
authors.forename: William
authors.initials: W
authors.lastname: Loan
authors.affiliation: Regional Vascular Unit, Royal Victoria Hospital, Belfast, United Kingdom.
authors.forename: Bernard
authors.initials: B
authors.lastname: Lee
authors.affiliation: Regional Vascular Unit, Royal Victoria Hospital, Belfast, United Kingdom.
authors.forename: Paul
authors.initials: P
authors.lastname: Blair
authors.affiliation: Regional Vascular Unit, Royal Victoria Hospital, Belfast, United Kingdom.
authors.forename: Denis
authors.initials: D
authors.lastname: Harkin
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D020878:Device Removal / Q000009:adverse effects*; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome