title: Laparoscopic ligation of inferior mesenteric artery and internal iliac artery for the treatment of symptomatic type II endoleak after endovascular aneurysm repair.
abstract: We present a case undergoing successful laparoscopic ligation of the inferior mesenteric artery (IMA) and internal iliac artery (IIA) for the treatment of a symptomatic type II endoleak (T2E) after endovascular aneurysm repair (EVAR). The patient presented with abdominal and back pain 1 year after EVAR. Subsequent enhanced computed tomography scan showed aneurysm sac enlargement from 60 mm to 70 mm, and digital substraction angiography revealed a T2E caused by patent IMA and right IIA. Then the patient underwent successful laparoscopic ligation of the IMA and right IIA. Postprocedural angiogram demonstrated complete resolution of the type II endoleak, and no intraoperative complications occurred. Also, there was no remaining abdominal pain or back pain after the operation.
authors.affiliation: 1 Division of Vascular Surgery, Department of General Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
authors.forename: Junjie
authors.initials: J
authors.lastname: Zou
authors.forename: Yueming
authors.initials: Y
authors.lastname: Sun
authors.forename: Hongyu
authors.initials: H
authors.lastname: Yang
authors.forename: Hao
authors.initials: H
authors.lastname: Ma
authors.forename: Jun
authors.initials: J
authors.lastname: Jiang
authors.forename: Yuangyong
authors.initials: Y
authors.lastname: Jiao
authors.forename: Xiwei
authors.initials: X
authors.lastname: Zhang
mesh_terms: D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D010535:Laparoscopy; D008026:Ligation / Q000379:methods*; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D014057:Tomography, X-Ray Computed
keywords: Endoleak; Endovascular aneurysm repair; Inferior mesenteric artery; Internal iliac artery; Laparoscopic ligation