A Successful Case Treated with Re-endovascular Surgery for Ruptured Abdominal Aortic Aneurysm due to Stent Graft Migration after 4 Years of Endovascular Repair

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  • EVAR 4 年後のステントグラフトマイグレーションによる破裂に対し再血管内治療を行った1 例

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The patient was a 64-year-old man treated by endovascular aortic repair (EVAR) for abdominal aortic aneurysm. Four years after EVAR, the patient revisited the previous hospital complaining abdominal pain and loss of consciousness. Ruptured abdominal aortic aneurysm was suspected and the patient was transferred to our institution. Hemodynamics was stable relatively. CT showed the retroperitoneal hematoma and migration of stent graft. Ruptured abdominal aortic aneurysm after EVAR was diagnosed, and we performed re-endovascular repair to the proximal side of the aneurysm emergently. Postoperative course was uneventful and he discharged without any morbidity.

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