Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak.

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI:10.1093/jscr/rjae792
Ryo Shimano, Koh Takeuchi, Takuya Komatsu, Junzo Inamura, Suguru Miyazaki, Masafumi Akita
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引用次数: 0

Abstract

Rupture of abdominal aortic aneurysm (AAA) due to an isolated type II endoleak (TIIEL) is rarely reported, accounting for less than 1% of all TIIELs; typically, rupture associated with TIIEL is accompanied by type I or type III endoleaks. We report a case of ruptured AAA secondary to TIIEL without any other types of endoleaks, occurring late after endovascular abdominal aortic repair (EVAR). A 77-year-old man with a history of EVAR 11 years earlier presented with abdominal pain. Computed tomography revealed a ruptured AAA, likely due to TIIEL from the lumbar artery. He was on warfarin for atrial fibrillation, and his preoperative PT-INR was 6.05. After administering lyophilized human prothrombin complex concentrate, lumbar artery ligation and aneurysmorrhaphy were performed. Intraoperatively, there was pulsatile bleeding from the lumbar artery, which was sutured closed. No other types of endoleaks were observed. The postoperative course was uneventful, and the patient was discharged home.

仅因II型内漏而无其他类型内漏的晚期腹主动脉腔内修复破裂。
由于孤立的II型内漏(TIIEL)导致腹主动脉瘤(AAA)破裂的报道很少,占所有TIIEL的不到1%;通常,与TIIEL相关的破裂伴随着I型或III型内漏。我们报告一例继发于TIIEL的AAA破裂,无任何其他类型的内漏,发生在血管内腹主动脉修复(EVAR)后晚期。77岁男性,11年前有EVAR病史,表现为腹痛。计算机断层扫描显示AAA破裂,可能是由于腰动脉的TIIEL所致。因房颤服用华法林,术前PT-INR为6.05。在给予冻干的人凝血酶原复合物浓缩物后,进行腰动脉结扎和动脉瘤缝合。术中腰动脉有搏动性出血,已缝合。未观察到其他类型的内漏。术后过程顺利,患者出院回家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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