title: Life-Saving Embolization in a Patient with Recurrent Shock Due to a Type II Endoleak after Endovascular Aortic Repair for a Ruptured Abdominal Aortic Aneurysm.
abstract: A man in his 80s underwent urgent endovascular aortic repair (EVAR) for a ruptured abdominal aortic aneurysm (RAAA). Surgery was completed without apparent complications, and the patient was returned to the Cardiac Care Unit. Two hours later, he again developed shock, and contrast-enhanced Computed Tomography showed extravasation from a type II endoleak (T2EL) involving the IMA. Transcatheter arterial embolization (TAE) was immediately performed, and the patient's vital signs stabilized soon after embolization. Abdominal compartment syndrome was suspected during the procedure, so a retroperitoneal hematoma evacuation was performed. The patient's postoperative course was satisfactory, and he transferred to another hospital. EVAR for RAAA would be useful, but it is necessary to be considered that T2EL can cause the aggravation of unstable circulation.
authors.affiliation: Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Yukihisa
authors.initials: Y
authors.lastname: Ogawa
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishimaki
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Chiba
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Daijun
authors.initials: D
authors.lastname: Ro
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Hirokuni
authors.initials: H
authors.lastname: Ono
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Yuka
authors.initials: Y
authors.lastname: Sakurai
authors.affiliation: Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Keishi
authors.initials: K
authors.lastname: Fujiwara
authors.affiliation: Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Murakami
authors.affiliation: Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Shingo
authors.initials: S
authors.lastname: Hamaguchi
authors.affiliation: Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Yagihashi
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Miyairi
authors.affiliation: Department of Radiology, St. Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Nakajima
keywords: endovascular aortic repair; ruptured abdominal aortic aneurysm; transcatheter arterial embolization; type II endoleak