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Case Reports
. 2014 Feb;47(1):71-4.
doi: 10.5090/kjtcs.2014.47.1.71. Epub 2014 Feb 5.

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair

Jae Hong Lim  1 , Yong Won Sung  1 , Se Jin Oh  1 , Hyeon Jong Moon  1 , Jeong Sang Lee  1 , Jae-Sung Choi  1
Affiliations
Case Reports

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair

Jae Hong Lim et al. Korean J Thorac Cardiovasc Surg. 2014 Feb.

Abstract

For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

Keywords: Aneurysm; Aorta, abdominal; Rupture; Stent; Thrombosis.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
(A) Preoperative computed tomographic angiography shows an abdominal aortic aneurysm. (B) 3-Dimensional reconstruction shows eccentric buldging of the abdominal aortic aneurysm combined with right common iliac artery aneurysm.
Fig. 2
Fig. 2
(A) Perforation at left proximal external iliac artery (arrow). (B) Occlusion of left graft limb (arrow). (C) Completion angiography showed no further extravasation and no occlusion.
Fig. 3
Fig. 3
Postoperative computed tomographic angiography with 3-dimensional reconstruction.
See this image and copyright information in PMC

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