Type IIIb Endoleak Associated With an Infected Thoracoabdominal Endograft.
We present a 63-year-old male patient who presented with vague abdominal pain after an endoluminal thoracoabdominal aneurysm repair. He was found to have an infected endograft and an associated type IIIb endoleak. We believe that the infection contributed to the fabric degradation along the endograft and resulted in an expanding endoleak. Graft explantation was not performed because of the patient's multiple comorbidities, and the endoleak was treated with an additional stent graft and suppressive antibiotics. Endograft infection may lead to endograft degradation and associated leak. Therefore, an infectious etiology, although rare, should be considered when evaluating a delayed type IIIb endoleak.
From the *Vascular Surgery, Department of Surgery and †Radiology, University of Kentucky, Lexington, KY USA.
Nathan T
NT
Orr
Michael A
MA
Winkler
Eleftherios S
ES
Xenos
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000382:microbiology*; D057867:Endoleak / Q000209:etiology*; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000175:diagnosis*; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome