Internal Iliac Artery Aneurysm Ruptures with No Visualized Endoleak 2 Years after Endovascular Repair
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- Harada Ayumi
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Morisaki Koichi
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Kurose Shun
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Yoshino Shinichiro
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Yamashita Sho
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Furuyama Tadashi
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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- Mori Masaki
- Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
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Description
<p>We report a case of an 83-year-old man with a ruptured internal iliac artery (IIA) aneurysm after endovascular repair, which was treated via the ligation of IIA and tight suture of the aneurysm sac. Although there were no findings of obvious endoleak after endovascular treatment, the IIA aneurysm increased in size and eventually ruptured. We presumed that pressure to IIA aneurysm via the embolized IIA led to rupture. Aneurysm sac expansion may lead to a rupture despite no endoleak being detected; therefore, close follow-up or re-intervention must be considered. Tight embolization of IIA may prevent endotension in the same case.</p>
Journal
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- Annals of Vascular Diseases
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Annals of Vascular Diseases 15 (1), 45-48, 2022-03-25
The Editorial Committee of Annals of Vascular Diseases