Aortic rupture following an EVAR secondary to graft erosion.
Significant type 3 endoleak as a defect in the graft material, especially associated with endograft rupture, is a rare complication. A 68-year-old male patient with aortic plaque rupture was treated with endovascular graft placement. The patient was readmitted two years later with severe abdominal pain, a large retroperitoneal hematoma and contrast extravasation below the location where the aortic plaque had presented. Before an aortic infrarenal cuff could be placed during a control angiography, a large graft hole and a significant type 3 endoleak were observed. The sharp aortic plaque may have been responsible for the endograft tear.
Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.|Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Igor
I
Banzic
Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
Mario
M
Lachat
Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
Zoran
Z
Rancic
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D012187:Retroperitoneal Space; D015607:Stents; D016896:Treatment Outcome
Type 3 endoleak; aortic plaque; endograft rupture