Journal of Vascular and Endovascular Therapy

Endoleak after an Open Abdominal Aortic Aneurysm Repair

Although endoleaks have been well described after endovascular abdominal aortic aneurysm (AAA) repair, their occurrence after open repair is much less common. This case report describes a patient who had a leak at the proximal anastomotic site of the graft after open AAA repair. The patient was a 78 year old male patient who presented to our facility with bright red blood from the rectum at approximately 3 months after an open AAA repair at an outside facility. On computed tomographic angiography, a leak was detected at the proximal anastomotic site and resembled a type I endoleak that may occur after endovascular repair. The patient was treated through endovascular technique with the placement of two proximal extension cuffs. The endoleak was not observed on follow-up imaging, and the patient has been asymptomatic since treatment. Endoleaks after open AAA repair are rare, but they can be treated through an endovascular approach, with proximal extension cuff placement to seal the leak.

Author(s):

Albert G Hakaim*, Charles G Stoneburner and Gregory Frey

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