Early Post-EVAR Rupture in a Patient with Early Type II Endoleak: A Borderline Treatment
Christiana Anastasiadou1, Sotiris Giannakakis1, Anastasios Papapetrou1
1Department of Vascular Surgery, General Hospital of Attica "KAT", Athens, Greece.
Purpose:
The detection of type II endoleak one month after endovascular aneurysm repair (EVAR) is usually neglected or considered benign. Aim of this report is to present a case of post-EVAR rupture, due to type II endoleak, and discuss on pathophysiology and differential diagnosis.
Case Report:
We present a case of a 67-year-old male who was treated with EVAR for an asymptomatic abdominal aortic aneurysm and four months later, he presented with a contained rupture due to a type II endoleak. The patient was treated conservatively without any intervention with satisfying result.
Conclusions:
We are demonstrating conservative management as a valid therapeutic option for patients presenting with a contained post-EVAR rupture.
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