Endovascular repair of early rupture of Dacron aortic graft--two case reports.
Affiliation
Western Vascular Institute, Department of Vascular and Endovascular Surgery, University College Hospital, Galway, Ireland. sherifsultan@esatclear.ieIssue Date
2005MeSH
AgedAortic Aneurysm, Abdominal
Aortic Rupture
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Femoral Artery
Humans
Iliac Artery
Male
Polyethylene Terephthalates
Prosthesis Failure
Stents
Tomography, Spiral Computed
Metadata
Show full item recordCitation
Endovascular repair of early rupture of Dacron aortic graft--two case reports., 39 (2):183-90 Vasc Endovascular SurgPublisher
Vascular and endovascular surgeryJournal
Vascular and endovascular surgeryPubMed ID
15806280Abstract
Complications after open aortic surgery pose a challenge both to the vascular surgeon and the patient because of aging population, widespread use of cardiac revascularization, and improved survival after aortic surgery. The perioperative mortality rate for redo elective aortic surgery ranges from 5% to 29% and increases to 70-100% in emergency situation. Endovascular treatment of the postaortic open surgery (PAOS) patient has fewer complications and a lower mortality rate in comparison with redo open surgical repair. Two cases of ruptured abdominal aortic aneurysm (AAA) were managed with the conventional open surgical repair. Subsequently, spiral contrast computer tomography scans showed reperfusion of the AAA sac remnant mimicking a type III endoleak. These graft-related complications presented as vascular emergencies, and in both cases endovascular aneurysm repair (EVAR) procedure was performed successfully by aortouniiliac (AUI) stent graft and femorofemoral crossover bypass. These 2 patients add further merit to the cases reported in the English literature. This highlights the crucial importance of endovascular grafts in the management of such complex vascular problems.Item Type
ArticleLanguage
enISSN
1538-5744Collections
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