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. 2013:2013:761384.
doi: 10.1155/2013/761384. Epub 2013 Feb 12.

Embolization with Histoacryl Glue of an Anastomotic Pseudoaneurysm following Surgical Repair of Abdominal Aortic Aneurysm

Ayesha Walid  1 , Tanveer Ul Haq, Raza Sayani, Zia Ur Rehman
Affiliations

Embolization with Histoacryl Glue of an Anastomotic Pseudoaneurysm following Surgical Repair of Abdominal Aortic Aneurysm

Ayesha Walid et al. Case Rep Vasc Med. 2013.

Abstract

We report a 62-year-old female who had surgical repair of abdominal aortic aneurysm with a bifurcated graft 2 years ago. She presented with a distal anastomotic pseudoaneurysm which was successfully embolized with histoacryl glue. Only one such similar case has been reported in the literature so far (Yamagami et al. (2006)).

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Figures

Figure 1
Figure 1
A 62-year-old woman with prior history of surgical repair of abdominal aortic aneurysm with a bifurcated graft presented with distal anastomotic pseudoaneurysm. Enhanced CT obtained 2 years after surgery reveals a pseudoaneurysm of 7.8 cm in diameter with pooling of IV contrast within it, close to the distal anastomosis.
Figure 2
Figure 2
(a) Aortogram shows pooling of the leaked contrast agent from the distal anastomosis. (b) Image obtained with tip of the microcatheter positioned at the ostium of the pseudoaneurysm (arrow). (c, d) Acrylate glue seen within the pseudoaneurysm on postembolization image (arrow).
Figure 3
Figure 3
Enhanced CT obtained 15 days after embolization shows that the pseudoaneurysm is thrombosed.
See this image and copyright information in PMC

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