腹主动脉瘤开放性修复术后II型腔内漏样出血引起的晚期动脉瘤囊增大

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-15 DOI:10.1016/j.jvscit.2025.101809

Kotaro Mukasa MD, Yasunori Yakita MD, PhD, Musashi Tsuda MD, Shinichiro Abe MD, PhD, Soichi Asano MD, PhD

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引用次数: 0

摘要

剖腹主动脉瘤（AAA）修复后II型内漏样出血极为罕见。我们报告一例71岁男性动脉瘤囊再扩张的情况下，13年后开放的AAA修复。包裹的动脉瘤从55mm扩大到70mm，计算机断层扫描显示造影剂从动脉瘤壁流入。再次手术显示弥漫性出血，无离散分支血管出血。本病例表明，即使没有分支血管出血，开放式AAA修复后II型内漏样出血也可能作为晚期并发症发生，这突出了长期监测的重要性。

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Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair

Type II endoleak-like bleeding after open abdominal aortic aneurysm (AAA) repair is extremely rare. We report a case of aneurysm sac re-expansion in a 71-year-old man 13 years after open AAA repair. The wrapped aneurysm expanded from 55 mm to 70 mm, with a computed tomography scan showing contrast medium inflow from the aneurysm wall. Reoperation revealed diffuse bleeding without discrete branch vessel hemorrhage. This case demonstrates that type II endoleak-like bleeding can occur as a late complication after open AAA repair, even without bleeding from the branch vessels, highlighting the importance of long-term surveillance.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.