Nonvisualized type III endoleak masquerading as endotension: a case report

Akihiro Yoshitake, Takashi Hachiya, Takahito Itoh, Hiroto Kitahara, Mio Kasai, Shinji Kawaguchi, Hideyuki Shimizu

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Abstract

Here, we describe a case of nonvisualized type III endoleak masquerading as endotension that was diagnosed by opening the aneurysm sac during surgery and successfully treated surgically. A 79-year-old man underwent endovascular aneurysm repair (EVAR) 4 years previously for an aneurysm that had enlarged gradually without endoleak. An open surgical operation was performed. The sac pressure was 132 mm Hg-similar to the preoperative systolic blood pressure-and nonpulsatile. After the aneurysm sac was opened without clamping the aorta, a type III endoleak from the suture point of the prosthetic endograft was detected. The prosthetic graft was successfully replaced with a Y-graft. The current findings suggest that nonvisualized type III endoleaks may be a potential cause of endotension.

Original languageEnglish
JournalAnnals of Vascular Surgery
Volume29
Issue number3
DOIs
Publication statusPublished - 2015 Apr 1

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Yoshitake, A., Hachiya, T., Itoh, T., Kitahara, H., Kasai, M., Kawaguchi, S., & Shimizu, H. (2015). Nonvisualized type III endoleak masquerading as endotension: a case report. Annals of Vascular Surgery, 29(3). https://doi.org/10.1016/j.avsg.2014.10.039