Type III endoleak presenting decades after endovascular aort
Type III endoleaks are a rare but potentially life-threatening complication post endovascular aortic aneurysm repair (EVAR).

A 91-year-old Chinese female, presented to our accident and emergency department for severe back and abdominal pain. She had previously undergone an EVAR procedure twenty years ago for a 6.5 cm diameter infra-renal abdominal aortic aneurysm.

A CT aortogram revealed a type III endoleak, with the contralateral limb found to be disconnected from the main graft body. She was successfully treated by relining the graft using an endovascular technique.

Highlights
• Late type III endoleak is a rare but potentially life-threatening complication post endovascular aortic aneurysm repair.

• They can present only decades after surgery, even after an extended complication-free period.

• First line treatment often employs an endovascular approach to realign the endoleak with additional stent-grafts.

• Current long-term data for EVAR-related complications highlights the need for life-long stent-graft surveillance.

Read more here: https://pxmd.co/PjWsD
Like
Comment
Share