Authors: P Ho W L Law P H M Tung J T C Poon A C W Ting S W K Cheng
Publish Date: 2004/03/19
Volume: 18, Issue: 5, Pages: 870-870
Abstract
We report the case of a high risk patient with an abdominal infrarenal aortic aneurysm AAA who was treated by endovascular technique and the subsequent management of a type II endoleak by the laparoscopic approach In this case a 74yearold woman with a 6cm infrarenal AAA underwent endovascular repair using a bifurcated stentgraft device Surveillance CT scan showed a persistent type II endoleak at 1 week and 3 months after the operation Angiography confirmed retrograde flow from the inferior mesenteric artery IMA Attempted transarterial embolization of the IMA via the superior mesenteric artery was not successful Laparoscopic transperitoneal IMA clipping was performed Subsequent aortic duplex scan and CT scan confirmed complete elimination of the type II endoleak We conclude that a combination of endovascular and laparoscopic procedures can be used to manage AAA successfully
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