Type III Endoleak from a Thoracic Aortic Stent-Graft

Purpose: To present an as yet unreported late complication of an Excluder thoracic endograft. Case Report: A 78-year-old man underwent surgery for a ruptured type V thoracoabdominal aortic aneurysm in 1996. Four years later, an aneurysm was detected in the proximal thoracic aorta and repaired with 2...

Full description

Saved in:
Bibliographic Details
Published in:Journal of endovascular therapy 2002-08, Vol.9 (4), p.535-538
Main Authors: Lange, Conrad, Ødegård, Asbjørn, Lundbom, Jan, Hatlinghus, Staal, Myhre, Hans O.
Format: Article
Language:English
Subjects:
Aged
Aneurysm, Ruptured - surgery
Aortic Aneurysm, Thoracic - surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Humans
Male
Postoperative Complications
Prosthesis Failure
Stents
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose: To present an as yet unreported late complication of an Excluder thoracic endograft. Case Report: A 78-year-old man underwent surgery for a ruptured type V thoracoabdominal aortic aneurysm in 1996. Four years later, an aneurysm was detected in the proximal thoracic aorta and repaired with 2 Excluder endoprostheses. At 12 months, computed tomography showed an increase in the aneurysm sac diameter and a type III endoleak, which was traced to a hole in the stent-graft fabric on arteriography. No fracture of the metal components was detected in the stent-grafts. Another Excluder device was implanted within the distal endograft. Satisfactory exclusion of the leak has been maintained for 6 months. Conclusions: The risk of type III leaks must be minimized before stent-grafting can be regarded as a routine procedure in the treatment of thoracic aortic aneurysms.
ISSN:1526-6028
1545-1550
DOI:10.1177/152660280200900424