Rupture of abdominal aortic aneurysm: Concurrent comparison of outcome of those occurring after endovascular repair versus those occurring without previous.

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Rupture of abdominal aortic aneurysm: Concurrent comparison of outcome of those occurring after endovascular repair versus those occurring without previous treatment in an 11-year single-center experience James May, MD, FRACS, Geoffrey H. White, FRACS, Michael S. Stephen, FRACS, John P. Harris, MS, FRACS Journal of Vascular Surgery Volume 40, Issue 5, Pages 860-866 (November 2004) DOI: 10.1016/j.jvs.2004.08.012 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 This case illustrates the limitations of surveillance with annual scans and the importance of plain x-ray films in demonstrating separation of radiopaque markers. The patient underwent endovascular abdominal aortic aneurysm (AAA) repair with a Vanguard prosthesis in 1996. Preoperative diameter was 5.4 cm. At follow-up, diameter was 5.00 cm (1998), 5.2 cm (1999), 5.5 cm (2000), 5.5 cm (2002), and 6.1 cm (2003). No endoleak was demonstrated in these studies. A, Contrast material–enhanced computed tomography scan of AAA (diameter, 6.5 cm) demonstrates endoleak and rupture, obtained 10 days after annual scan in 2003, which demonstrated no endoleak. B, Aortogram demonstrates type III endoleak between contralateral stump and contralateral limb (arrow). C, Predeployment plain film for orientation of secondary endograft. Note markers on contralateral stump (broad arrow) and contralateral limb of primary endograft (narrow arrow) are no longer adjacent, indicating migration. D, Postprocedure aortogram confirms exclusion of sac from the circulation. Journal of Vascular Surgery 2004 40, 860-866DOI: (10.1016/j.jvs.2004.08.012) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions