Key result
A 77-year-old man with a persistent type II endoleak and expanding aneurysm sac following EVAR suffered a late sac rupture at 52 months, successfully treated with emergency open repair.
Case Report (n=1)
Emergency open repair can be successfully performed in patients with ruptured AAA due to type II endoleak following EVAR, even in those with multiple comorbidities.
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Supports feasibility of emergency open repair for late post-EVAR rupture despite comorbidities; leaves open optimal type II endoleak surveillance and intervention timing.
We present a case of an elderly man with the persisting type II endoleak following endovascular aneurysm repair. In a view of the multiple comorbidities, the patient was denied an open elective repair. However, when presented with a ruptured aneurismal sac, he underwent an emergency open abdominal aortic aneurysm repair. Overall, the patient has made a good postoperative recovery.
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Kaczyński et al. (2014) conducted a case report in Infrarenal abdominal aortic aneurysm (AAA) (n=1). Endovascular aneurysm repair (EVAR) was evaluated on Aneurysm rupture and postoperative recovery. A 77-year-old man with a persistent type II endoleak and expanding aneurysm sac following EVAR suffered a late sac rupture at 52 months, successfully treated with emergency open repair.
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