title: Emergency endovascular graft repair of computed tomography-detected disruption of bilateral aorto-bi-iliac graft legs.
abstract: We report a case of endovascular repair of disruption of an aorto-bi-iliac graft detected by 4D computed tomography. An 83-year old man with previous aorto-bi-iliac graft replacement was admitted to our institution with severe epigastric pain. A 4D computed tomography detected disruption within the fabric of both graft legs, and we performed emergency endovascular repair. The graft legs' disruption sites were completely covered by stent grafts. On the 12th postoperative day, a balloon-expandable stent was added to diminish Type I endoleak. The patient was discharged in an ambulatory state on the 34th postoperative day.
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan kthrhrt11@gmail.com.
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kitahara
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yoshitake
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Hachiya
authors.affiliation: Department of Cardiovascular Surgery, Keio University Hospital, Tokyo, Japan.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Shimizu
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001012:Aorta, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004630:Emergencies; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007091:Image Processing, Computer-Assisted; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods*
keywords: Aorto-bi-iliac graft replacement; Dacron graft disruption; Emergency surgery; Endovascular therapy