Iliac Aneurysm Endoleak Repair

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Presentation transcript:

Iliac Aneurysm Endoleak Repair NESIR May 2017 Aaron Harman, MD Michael S. Stecker, MD Brigham & Women’s Hospital 26586164

History 77 YO M who presented to our emergency room with groin pain. Examination demonstrated a large lump in his left groin and lower abdomen. CT scan demonstrated what appeared to be a ruptured large left internal iliac artery aneurysm with extravasation to the retroperitoneum and groin. Recommendation for emergent iliac aneurysm repair was made.

CT 6/25/2016 Ruptured  6.6  cm  left  internal  iliac  artery  pseudoaneurysm or  aneurysm  with  associated  moderate  volume  hemoperitoneum extending  into  the  pelvis  and  left  inguinal  hernia.

OR 6/25/2016

OR 6/25/2016

CT 3/22/2017

Scout 4/25/17

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4/25/2017