title: Bilateral Type IIIa Endoleak and Disconnection of Both Limbs after Evar with an Endurant II Endograft.
abstract: A 75-year-old patient with severe comorbidities was treated with an Endurant®(Medtronic, USA) II endograft due to a ruptured abdominal aortic aneurysm (AAA). After four years of unremarkable follow-up, bilateral limb separation was detected. The patient underwent endovascular bridging without any complication. Although rarely detected in newer grafts, late bilateral type IIIa endoleaks can present and should be promptly repaired. Complex or ruptured AAAs treated with off-label use of endografts should be under closer surveillance using imaging tools for potential endoleaks or aneurysm sac growth.
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: Sotirios
authors.initials: S
authors.lastname: Giannakakis
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Galyfos
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Geropapas
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: Stavros
authors.initials: S
authors.lastname: Kerasidis
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: Gerasimos
authors.initials: G
authors.lastname: Papacharalampous
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Kastrisios
authors.affiliation: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors.forename: Chrisostomos
authors.initials: C
authors.lastname: Maltezos
keywords: Abdominal aortic aneurysm; Endoleak; Endovascular procedures; Retreatment