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"Unpredictable" late rupture of an abdominal aortic aneurysm after bifurcated Ancure endograft repair
Noah A Rosen1, Neal S Cayne, Michael Macari
1Department of Surgery New York University Medical Center, New York, New York, USA. noah.rosen@comcast.net
Abstract:
The goal of endovascular repair of an abdominal aortic aneurysm is to exclude the aneurysm from systemic arterial pressure, thereby preventing rupture. However, the long-term durability of endovascular repair continues to be in question, as aneurysm rupture after endovascular repair continues to be reported. We report the case of an 89-year-old patient who underwent endovascular repair of a 7.1-cm abdominal aortic aneurysm with an Ancure endograft 5 years earlier. Despite close follow-up and a shrinking aneurysm sac on annual contrast-enhanced computed tomography, he presented with aneurysm rupture and a new proximal type I endoleak. The endoleak and rupture were successfully repaired with endovascular placement of a main body extension.
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