title: Unique Technique for Open Surgical Repair after Failed Endovascular Aneurysm Repair with Proximal Anastomoses.
abstract: Endovascular aortic aneurysm repair (EVAR) has revolutionized the management of abdominal aortic aneurysms (AAAs), with lower perioperative morbidity and mortality compared to conventional surgical repair. However, late secondary re-interventions after EVAR are still needed before aneurysm rupture in many cases. A patient with impending rupture of an AAA associated with a type I endoleak 7 years after EVAR who was successfully treated with a unique technique of fixation of the proximal aortic neck taking into account the structure of the stent graft is reported. This technique offers a safe solution to late open conversion after failed EVAR.
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takebayashi
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Hirota
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Mori
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Shuto
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Keitaro
authors.initials: K
authors.lastname: Okamoto
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Aiko
authors.initials: A
authors.lastname: Sato
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Wada
authors.affiliation: Department of Medical Engineering, Oita University, Yufu, Oita, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Anai
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Miyamoto
keywords: abdominal aortic aneurysm; endovascular surgery; operative strategy in late conversion