Late aneurysm rupture after repressurization of a thrombosed stent-graft

J Endovasc Ther. 2007 Oct;14(5):672-5. doi: 10.1177/152660280701400511.

Abstract

Purpose: To report late abdominal aortic aneurysm (AAA) rupture after endovascular stent-graft repair despite complete thrombotic stent-graft occlusion.

Case report: A 65-year-old man underwent successful endovascular aneurysm repair (EVAR) with a Stentor device in 1995. In the interim course, the patient developed complete thrombotic stent-graft occlusion, which was treated with an axillobifemoral bypass. After 8 years, the patient presented with a reperfused and ruptured infrarenal AAA. Open repair was performed, with a good clinical result and exclusion of the AAA.

Conclusion: Thrombosed stent-grafts and aneurysms can transmit systemic arterial pressure and cause late rupture. Lifelong surveillance is mandatory in EVAR patients.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / physiopathology
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / etiology*
  • Aortic Rupture / physiopathology
  • Aortic Rupture / surgery
  • Aortography / methods
  • Blood Pressure
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Device Removal
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / etiology*
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / surgery
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Prosthesis Failure
  • Radiographic Image Interpretation, Computer-Assisted
  • Reoperation
  • Stents*
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology*
  • Thrombosis / surgery
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome