Volume 23, Issue 5, Pages e45-e47 (May 2012)

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Volume 23, Issue 5, Pages e45-e47 (May 2012) A Modified Technique of Open Surgical Treatment for Aneurysmal Sac Enlargement after Endovascular Repair A. Hiraoka, H. Yoshitaka, G. Chikazawa, A. Ishida, T. Totsugawa, M. Kuinose EJVES Extra Volume 23, Issue 5, Pages e45-e47 (May 2012) DOI: 10.1016/j.ejvsextra.2012.02.009 Copyright © 2012 European Society for Vascular Surgery Terms and Conditions

Figure 1 A; case 1. A1, no endoleak is detected on computed tomography (CT) after surgery. A2, CT 4 years after operation reveals no endoleak and increasing aneurysm size. A3, CT 6 months after open surgery shows completely repair of aneurysm. B; case 2. B1, postoperative CT showed type II endoleak. B2, although CT 4 years after the coil embolization revealed no endoleak, the aneurysmal size had increased. B3, CT 9 months after the surgery showed successful exclusion of aneurysm. C; case 3. C1, although the postoperative CT showed type II endoleak, the primary cause was not clearly identified. C2, CT 4 years after the initial revealed the aneurysmal sac increased. C3, CT 3 months after the surgery revealed the complete exclusion of the aneurysm. EJVES Extra 2012 23, e45-e47DOI: (10.1016/j.ejvsextra.2012.02.009) Copyright © 2012 European Society for Vascular Surgery Terms and Conditions

Figure 2 A, opened aneurysm after all side branches were ligated. No blood flow and no endoleak were detected. B, stent-graft was tightly wrapped with aneurysm wall. C, the aneurysm wall was additionally wrapped with Xenomedica patch. EJVES Extra 2012 23, e45-e47DOI: (10.1016/j.ejvsextra.2012.02.009) Copyright © 2012 European Society for Vascular Surgery Terms and Conditions