Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair

  • Lim, Jae Hong (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center) ;
  • Sung, Yong Won (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center) ;
  • Oh, Se Jin (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center) ;
  • Moon, Hyeon Jong (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center) ;
  • Lee, Jeong Sang (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center) ;
  • Choi, Jae-Sung (Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center)
  • Received : 2013.06.19
  • Accepted : 2013.09.23
  • Published : 2014.02.05
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Abstract

For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

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References

  1. Son BS, Chung SW, Lee C, Ahn HY, Kim S, Kim CW. Clinical efficacy of endovascular abdominal aortic aneurysm repair. Korean J Thorac Cardiovasc Surg 2011;44:142-7. https://doi.org/10.5090/kjtcs.2011.44.2.142
  2. Ahn SS, Rutherford RB, Johnston KW, et al. Reporting standards for infrarenal endovascular abdominal aortic aneurysm repair. Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/International Society for Cardiovascular Surgery. J Vasc Surg 1997;25:405-10. https://doi.org/10.1016/S0741-5214(97)70363-X
  3. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991;5:491-9. https://doi.org/10.1007/BF02015271
  4. Fernandez JD, Craig JM, Garrett HE Jr, Burgar SR, Bush AJ. Endovascular management of iliac rupture during endovascular aneurysm repair. J Vasc Surg 2009;50:1293-9. https://doi.org/10.1016/j.jvs.2009.06.020
  5. Chatziioannou A, Mourikis D, Katsimilis J, et al. Acute iliac artery rupture: endovascular treatment. Cardiovasc Intervent Radiol 2007;30:281-5. https://doi.org/10.1007/s00270-005-0357-9
  6. Solonynko B, Galazka Z, Jakimowicz T, Szmidt J. Influence of atheromatous lesions in the ilio-femoral segment on the occurrence of stentgraft thrombosis after endovascular treatment of an abdominal aortic aneurysm. Pol Przegl Chir 2012;84:551-9.
  7. Laheij RJ, Buth J, Harris PL, Moll FL, Stelter WJ, Verhoeven EL. Need for secondary interventions after endovascular repair of abdominal aortic aneurysms. Intermediate- term follow-up results of a European collaborative registry (EUROSTAR). Br J Surg 2000;87:1666-73. https://doi.org/10.1046/j.1365-2168.2000.01661.x