Late aneurysm rupture after delayed secondary open conversion with partial explantation for failed endovascular repair

A delayed secondary open conversion (SOC) after endovascular aneurysm repair may be necessary due to a failing graft. Many surgical techniques can be performed, and one such approach is partial explantation of the graft with resuturing of a new graft to the retained components of the endograft. No g...

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Bibliographic Details
Published in:Journal of vascular surgery 2016, Vol.63 (1), p.234-236
Main Authors: McManus, Claire, MB, MRCS, Loan, William, FRCR, Lee, Bernard, MD, FRCS, Blair, Paul, MD, FRCS, Harkin, Denis, MD, FRCS, FEBVS
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - surgery
Aortic Rupture - diagnosis
Aortic Rupture - etiology
Aortic Rupture - surgery
Aortography
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Device Removal - adverse effects
Endoleak - diagnosis
Endoleak - etiology
Endoleak - surgery
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
Humans
Male
Prosthesis Failure
Reoperation
Stents
Surgery
Time Factors
Treatment Outcome
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Summary:A delayed secondary open conversion (SOC) after endovascular aneurysm repair may be necessary due to a failing graft. Many surgical techniques can be performed, and one such approach is partial explantation of the graft with resuturing of a new graft to the retained components of the endograft. No guidelines exist with regards to the follow-up of retained endovascular components after a delayed SOC. The theoretical risk of endoleaks remains with retained components, and this case demonstrates the development of a type Ib endoleak after SOC leading to free flow of blood into a partially resected aneurysm sac and causing a symptomatic aneurysm rupture.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2014.04.054