Key result
Case report describes a progressively giant AAA failing multiple repairs due to persistent type II endoleak.
Why the study?
Giant abdominal aortic aneurysms exceeding >10cm are rare, and type II endoleaks after EVAR can lead to persistent complications.
Case Report (n=1)
This case highlights the potential for persistent failure and poor outcomes in giant abdominal aortic aneurysms complicated by type II endoleaks despite multiple repair attempts.
Answers are grounded in this paper and cite their sources.
Persistent type II endoleaks in giant AAAs may portend poor outcomes despite interventions; leaves open optimal therapeutic strategies.
Abdominal aortic aneurysms (AAA) are considered giant when they exceed >10cm, and they are rare, with only a few cases described as >14cm. AAAs can be repaired through endovascular aneurysm repair (EVAR) or open surgery. EVAR involves the placement of a graft that contacts the aortic wall and the iliac vessels to prevent the aneurysm sac to have blood flow and pressure. One of the complications of EVAR is endoleak, the most common being type II. We describe an uncommon case of a progressively giant AAA with type II endoleak with poor evolution despite multiple repair attempts.
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PEREZ et al. (2022) conducted a case report in Giant Abdominal Aortic Aneurysm with Type II Endoleak (n=1). Multiple repair attempts was evaluated. A case report describes a progressively giant abdominal aortic aneurysm complicated by a persistent type II endoleak that had poor evolution despite multiple repair attempts.
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