Case report of a type III endoleak presenting only decades after endovascular aortic repair.

Case report of a type III endoleak presenting only decades after endovascular aortic repair.

Int J Surg Case Rep. 2019 Jan 18;56:10-12

Authors: Lee TSQ, Chong TT, Wang JCC, Choke TCE, Tang TY

Abstract
INTRODUCTION: Type III endoleaks are a rare but potentially life-threatening complication post endovascular aortic aneurysm repair (EVAR).
CASE REPORT: 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.
DISCUSSION: The case highlights the need for life-long stent-graft surveillance. We discuss early generation stent-grafts, type III endoleak treatment options and the current long-term data for late EVAR-related complications.
CONCLUSION: For patients who had undergone EVAR, type III endoleaks can present only decades later and pose a significant risk of aneurysmal rupture.

PMID: 30798094 [PubMed - as supplied by publisher]

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