Early type III endoleak with an Endurant endograft

• Published in: Journal of vascular surgery Vol. 52; no. 6; pp. 1665 - 1667
• Main Authors: Abouliatim, Issam, MD, Gouicem, Djelloul, MD, Kobeiter, Hicham, MD, Majeski, Marek, MD, Becquemin, Jean-Pierre, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.12.2010; Elsevier
• Subjects: Aged, 80 and over; Aortic Aneurysm, Abdominal - surgery; Biological and medical sciences; Blood Vessel Prosthesis Implantation - adverse effects; Endoleak - diagnosis; Endoleak - diagnostic imaging; Endoleak - etiology; Endovascular Procedures - adverse effects; Humans; Male; Medical sciences; Radiography; Stents - adverse effects; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tobacco, tobacco smoking; Toxicology; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Cardiovascular disease; Surgery
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2010.07.020

We report the case of an 81-year-old man who presented with an intraoperative type III endoleak after treatment with an Endurant endograft for a 60-mm abdominal aortic aneurysm. To our knowledge, this is the first case of a type III endoleak reported with this new device. It was most likely due to a tear in the polyester graft, the cause of which remains speculative. The tear was demonstrated by postoperative angiography, which was more informative than computed tomography. The endoleak was successfully treated by relining with an aorto-uni-iliac device.