Zenith Cook limb type IIIB endoleak causing aneurysm rupture five years after EVAR. (June 2015)

• Record Type: Journal Article
• Authors: Mezes, Peter; Sallam, Morad; Diamantopoulos, Athanasios; Taylor, Peter; Ahmed, Irfan
• Is Part Of: Vascular. Volume 23:Number 3(2015:Jun.)
• Page Start: 319
• Page End: 321
• Publication Date: 2015-06
• Subjects: Type IIIB endoleak -- aneurysm rupture -- endovascular -- EVAR -- complication -- stent; 616.13
• DOI: 10.1177/1708538114546714
• Languages: English
• ISSNs: 1708-5381

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.