Zenith Cook limb type IIIB endoleak causing aneurysm rupture five years after EVAR

Peter Mezes*, Morad Sallam, Athanasios Diamantopoulos, Peter Taylor, Irfan Ahmed

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)

    Abstract

    Type III endoleaks are rare late complications of endovascular abdominal aortic aneurysm repair. The aneurysm sac is pressurised either through disconnection of modular components (type IIIA) or a defect in the graft fabric (type IIIB). We report the endovascular treatment of a ruptured infrarenal aortic aneurysm five years after elective endovascular abdominal aortic aneurysm repair caused by a type IIIB endoleak secondary to probable graft material erosion of the contralateral limb. This is the first report of a late aneurysm rupture caused by fabric defect in a Cook Zenith limb. The case highlights the potential serious consequences of minimal migration of the device and the importance of landing the proximal fixation in healthy aorta.

    Original languageEnglish
    Pages (from-to)319-321
    Number of pages3
    JournalVASCULAR
    Volume23
    Issue number3
    DOIs
    Publication statusPublished - 3 Jun 2015

    Keywords

    • aneurysm rupture
    • complication
    • endovascular
    • EVAR
    • stent
    • Type IIIB endoleak

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