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Progressive growth of a pelvic collection five years after endovascular aneurysm repair: An atypical presentation of an asymptomatic contained rupture 

Published bySurya Sutedja Modified over 6 years ago

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Presentation on theme: "Progressive growth of a pelvic collection five years after endovascular aneurysm repair: An atypical presentation of an asymptomatic contained rupture "— Presentation transcript:

1 Progressive growth of a pelvic collection five years after endovascular aneurysm repair: An atypical presentation of an asymptomatic contained rupture  Olivier Bladt, MD, Geert Maleux, MD, Sam Heye, MD, Dirk Vanbeckevoort, MD, André Nevelsteen, MD, PhD  Journal of Vascular Surgery  Volume 43, Issue 1, Pages (January 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, A computed tomography (CT) scan of the aortobiiliac aneurysm before endovascular repair (EVAR). B, A control CT scan 1 year after EVAR shows that both iliac aneurysms are completely excluded by the stent-graft. The size of the aneurysmal sacs remained the same compared with the size before the operation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Axial and (B) reconstructed coronal slices of the excluded aneurysm 5 years after EVAR clearly show the homogeneous, thin-walled pelvic collection (*) located close to the excluded iliac aneurysms and above the roof of the bladder. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 A computed tomography scan obtained immediately after percutaneous drainage of the collection shows absence of any pelvic collection and clear shrinkage of both iliac aneurysms (arrows). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 A perioperative view into the drained right iliac aneurysm shows the right iliac limb of the Zenith stent-graft (arrows). The tweezers are placed in the hole (arrowhead) communicating between the aneurysm and the pelvic collection. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 A, Axial and (B) reconstructed coronal slices of the aortobiiliac aneurysm 5 months after surgical resection of the collection show absence of clear growth of the excluded iliac aneurysms. Note the vascular coils in the left proximal internal iliac artery (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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