Keywords
endoleak
ababdominal aortic aneurysm.
How to Cite
Abstract
We present a case of type 1 endoleaks associated with massive hemorrhage and
shock, treated with traditional open surgery. We present a 74-year-old male patient
with a history of endovascular repair of abdominal aortic aneurysm 6 years ago, was
admitted to the emergency department in shock and acute anemia, showing a type
IA endoleak associated with retroperitoneal hematoma. Open repair was performed
with the interposition of a Dacron™ prosthesis with preservation of the aortic
endoprosthesis. Although in these cases of extreme urgency, it has been proposed
the extraction of the endoprosthesis, which involves a procedure associated with
high mortality, in this case, it was feasible a simple repair as was the interposition
of prosthesis between proximal aorta and endoprosthesis. Endovascular repair of
aortic aneurysm requires strict monitoring and a good selection of patients for this
procedure since this late complication has a high mortality rate.
References
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