Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair
Type II endoleak-like bleeding after open abdominal aortic aneurysm (AAA) repair is extremely rare. We report a case of aneurysm sac re-expansion in a 71-year-old man 13 years after open AAA repair. The wrapped aneurysm expanded from 55 mm to 70 mm, with a computed tomography scan showing contrast m...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000917 |
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| author | Kotaro Mukasa, MD Yasunori Yakita, MD, PhD Musashi Tsuda, MD Shinichiro Abe, MD, PhD Soichi Asano, MD, PhD |
| author_facet | Kotaro Mukasa, MD Yasunori Yakita, MD, PhD Musashi Tsuda, MD Shinichiro Abe, MD, PhD Soichi Asano, MD, PhD |
| author_sort | Kotaro Mukasa, MD |
| collection | DOAJ |
| description | Type II endoleak-like bleeding after open abdominal aortic aneurysm (AAA) repair is extremely rare. We report a case of aneurysm sac re-expansion in a 71-year-old man 13 years after open AAA repair. The wrapped aneurysm expanded from 55 mm to 70 mm, with a computed tomography scan showing contrast medium inflow from the aneurysm wall. Reoperation revealed diffuse bleeding without discrete branch vessel hemorrhage. This case demonstrates that type II endoleak-like bleeding can occur as a late complication after open AAA repair, even without bleeding from the branch vessels, highlighting the importance of long-term surveillance. |
| format | Article |
| id | doaj-art-210335b870384eedaa39a376dae8d950 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-210335b870384eedaa39a376dae8d9502025-08-20T03:35:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410180910.1016/j.jvscit.2025.101809Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repairKotaro Mukasa, MD0Yasunori Yakita, MD, PhD1Musashi Tsuda, MD2Shinichiro Abe, MD, PhD3Soichi Asano, MD, PhD4Correspondence: Kotaro Mukasa, MD, Department of Cardiovascular Surgery, Chiba Cardiovascular Center, 575 Tsurumai, Ichihara, Chiba 290-0512, Japan; Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanDepartment of Cardiovascular Surgery, Chiba Cardiovascular Center, Chiba, JapanType II endoleak-like bleeding after open abdominal aortic aneurysm (AAA) repair is extremely rare. We report a case of aneurysm sac re-expansion in a 71-year-old man 13 years after open AAA repair. The wrapped aneurysm expanded from 55 mm to 70 mm, with a computed tomography scan showing contrast medium inflow from the aneurysm wall. Reoperation revealed diffuse bleeding without discrete branch vessel hemorrhage. This case demonstrates that type II endoleak-like bleeding can occur as a late complication after open AAA repair, even without bleeding from the branch vessels, highlighting the importance of long-term surveillance.http://www.sciencedirect.com/science/article/pii/S2468428725000917Abdominal aortic aneurysmEndoleak |
| spellingShingle | Kotaro Mukasa, MD Yasunori Yakita, MD, PhD Musashi Tsuda, MD Shinichiro Abe, MD, PhD Soichi Asano, MD, PhD Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair Journal of Vascular Surgery Cases and Innovative Techniques Abdominal aortic aneurysm Endoleak |
| title | Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair |
| title_full | Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair |
| title_fullStr | Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair |
| title_full_unstemmed | Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair |
| title_short | Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair |
| title_sort | late aneurysm sac enlargement due to type ii endoleak like bleeding following open abdominal aortic aneurysm repair |
| topic | Abdominal aortic aneurysm Endoleak |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000917 |
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