First report of a late type III endoleak from fabric tears of a Zenith stent graft Anders Wanhainen, MD, PhD, Rickard Nyman, MD, PhD, Mats-Ola Eriksson,

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Presentation transcript:

First report of a late type III endoleak from fabric tears of a Zenith stent graft Anders Wanhainen, MD, PhD, Rickard Nyman, MD, PhD, Mats-Ola Eriksson, MD, Martin Björck, MD, PhD Journal of Vascular Surgery Volume 48, Issue 3, Pages 723-726 (September 2008) DOI: 10.1016/j.jvs.2008.03.047 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography (CT) finding 2 months prior to presentation showing a stable sac that had decreased in size (a) and CT finding 48 hours after onset of symptoms showing a rapidly expanding sac with retroperitoneal hematoma (b). Journal of Vascular Surgery 2008 48, 723-726DOI: (10.1016/j.jvs.2008.03.047) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 Lateral (a) and frontal (b) preoperative angiograms. Journal of Vascular Surgery 2008 48, 723-726DOI: (10.1016/j.jvs.2008.03.047) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 a, Operative finding of bleedings through the fabric of the main body of a Zenith bifurcated endograft. b, Postmortem examination shows multiple small holes in conjunction with stent sutures (arrows). Journal of Vascular Surgery 2008 48, 723-726DOI: (10.1016/j.jvs.2008.03.047) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 Postmortem examination of the removed stent graft shows partial detachment of the suprarenal stent (a) and a stent fracture in the long stent proximal to the bifurcation (b). Journal of Vascular Surgery 2008 48, 723-726DOI: (10.1016/j.jvs.2008.03.047) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 5 a, A large hole (arrow) in the fabric in conjunction with a stent suture break. b, Close up of the fabric tear (postmortem examination). Journal of Vascular Surgery 2008 48, 723-726DOI: (10.1016/j.jvs.2008.03.047) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions