Nonoperative approach to endotension

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Presentation transcript:

Nonoperative approach to endotension Ari Mennander, MD, PhD, Georg Pimenoff, MD, PhD, Maarit Heikkinen, MD, PhD, Teemu Partio, MD, Rainer Zeitlin, MD, PhD, Juha- Pekka Salenius, MD, PhD Journal of Vascular Surgery Volume 42, Issue 2, Pages 194-198 (August 2005) DOI: 10.1016/j.jvs.2005.02.050 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography of a patient with endotension after endovascular aneurysm repair of an infrarenal abdominal aortic aneurysm. A, The maximum preoperative diameter of the aneurysm was 65 mm. B, On the third day after endovascular aneurysm repair, the maximum diameter was 70 mm. Note that fresh blood was present only inside the endograft. C, After 2 years of follow-up, the maximum diameter of the aneurysmal sac was 92 mm. No endoleak is depicted. D, Three years after endovascular aneurysm repair, the aneurysmal sac had ruptured. The aneurysmal sac has a maximum diameter of 20 cm. Journal of Vascular Surgery 2005 42, 194-198DOI: (10.1016/j.jvs.2005.02.050) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Autopsy finding of the patient in Fig 1. A, Massive aneurysm (>20 cm) at autopsy without blood inside the aneurysmal sac. B, Hygroma gel-like thick liquid was evacuated from the ruptured aneurysmal sac. Journal of Vascular Surgery 2005 42, 194-198DOI: (10.1016/j.jvs.2005.02.050) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions