Late endovascular aneurysm repair infection presenting with juxatrenal aortic rupture treated with in situ aortic replacement Charles A. West, MD, Joseph.

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Presentation transcript:

Late endovascular aneurysm repair infection presenting with juxatrenal aortic rupture treated with in situ aortic replacement Charles A. West, MD, Joseph Karam, MD, Chad Poopat, MD, Alexander D. Shepard, MD, Timothy J. Nypaver, MD, Mitchell Weaver, MD Journal of Vascular Surgery Volume 54, Issue 4, Pages 1157-1160 (October 2011) DOI: 10.1016/j.jvs.2011.04.008 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Axial image of computed tomography angiography 1 year after stenting shows the proximal fixation point of the graft just below the renal vessels. B, Coronal image shows the proximal stent fixation and native aneurysm sac (white arrowheads). Note right (straight arrow) and left (curved arrow) renal arteries. The aneurysm sac had remained excluded with interval regression in size and no evidence of endoleak. Journal of Vascular Surgery 2011 54, 1157-1160DOI: (10.1016/j.jvs.2011.04.008) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Axial image of computed tomography angiography at acute presentation illustrates contained aortic rupture with loss of aortic wall integrity, thin crescent of marginal thrombus, and surrounding inflammation in the retroperitoneum. B, Coronal image illustrates the juxtarenal location of the rupture (black arrowheads) distinctly separate from the native aneurysm sac (white arrowheads), which is unchanged. Note right (straight arrow) and left (curved arrow) renal arteries. Journal of Vascular Surgery 2011 54, 1157-1160DOI: (10.1016/j.jvs.2011.04.008) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Computed tomography angiography at the 1-year follow-up: (A) axial and (B) coronal images show the aortic prosthesis encircled by a 360° wrap of omentum. Note right (straight arrow) and left (curved arrow) renal arteries. Journal of Vascular Surgery 2011 54, 1157-1160DOI: (10.1016/j.jvs.2011.04.008) Copyright © 2011 Society for Vascular Surgery Terms and Conditions