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Case Reports
. 2017 Sep;12(3):320-324.
doi: 10.5114/wiitm.2017.69239. Epub 2017 Jul 31.

Late type III endoleak after thoracic endovascular aneurysm repair and previous infrarenal stent graft implantation - a case report and review of the literature

Jerzy Leszczyński  1 , Waldemar Macioch  1 , Witold Chudziński  1 , Zbigniew Gałązka  1
Affiliations
Case Reports

Late type III endoleak after thoracic endovascular aneurysm repair and previous infrarenal stent graft implantation - a case report and review of the literature

Jerzy Leszczyński et al. Wideochir Inne Tech Maloinwazyjne. 2017 Sep.

Abstract

Thoracic endovascular aortic repair (TEVAR) effectively improved the results of thoracic aortic aneurysm treatment. TEVAR is a less invasive procedure that can be performed under local anesthesia with shorter hospital stay. The perioperative morbidity and mortality rates are lower for endovascular than open repair, but the rate of secondary interventions is higher for TEVAR. We report a case of an elderly man with synchronous abdominal and thoracic aortic aneurysms. A type III dangerous endoleak was recognized 3 years after TEVAR. It was successfully repaired during an endovascular procedure. There were no new endoleaks after 12 months of follow-up. TEVAR may be the only option of treatment for risky and elderly patients. However, postoperative monitoring is necessary to exclude different types of endoleaks. Most of them undergo effective endovascular repair.

Keywords: endoleak; endovascular aneurysm repair; thoracic aneurysm.

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Figures

Photo 1
Photo 1
Type III endoleak due to disconnection of thoracic stent graft segments
Photo 2
Photo 2
Computed tomography scan – complete exclusion of type III endoleak after implantation of additional thoracic stent graft segment (6 months follow-up)
See this image and copyright information in PMC

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