Delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac resulting in continued sac expansion and rupture Edvard Skripochnik,

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Presentation transcript:

Delayed migration of a thrombosed aortic endograft within a thrombosed aneurysm sac resulting in continued sac expansion and rupture Edvard Skripochnik, MD, Nicos Labropoulos, PhD, Shang A. Loh, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 3, Issue 3, Pages 115-118 (September 2017) DOI: 10.1016/j.jvscit.2017.03.002 Copyright © 2017 Terms and Conditions

Fig 1 Ultrasound of the abdominal aorta in transverse view at 2 years after presentation showing the occluded endograft surrounded by an aneurysm sac with heterogeneous thrombus. On video imaging, there was mobility of the entire aorta, aneurysm sac, and sac thrombus. The single arrow and white outline show the region of suspicious thrombus, which was hypoechoic and mobile. The double arrows show the hyperechoic region of organized thrombus. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 115-118DOI: (10.1016/j.jvscit.2017.03.002) Copyright © 2017 Terms and Conditions

Fig 2 Anteroposterior view aortogram of occluded endograft performed 2 years after presentation. Endograft migration of 5 mm distally (arrow) from the left renal artery (white outline) with no endoleak visualized. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 115-118DOI: (10.1016/j.jvscit.2017.03.002) Copyright © 2017 Terms and Conditions

Fig 3 Coronal view computed tomography angiogram of the abdominal aorta at 2.5 years after presentation showing endograft migration with suprarenal struts (arrows) >5 mm distal to the lowest renal artery (white line). The aneurysm sac measures 6.1 cm, and the aortic neck is 3.6 cm. No endoleak visualized. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 115-118DOI: (10.1016/j.jvscit.2017.03.002) Copyright © 2017 Terms and Conditions

Fig 4 Sagittal view of non-contrast-enhanced computed tomography showing the endograft position at the time of rupture. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 115-118DOI: (10.1016/j.jvscit.2017.03.002) Copyright © 2017 Terms and Conditions