Treatment of type V endoleaks by endovascular redo stent-graft placement.

Zimpfer, Daniel; Schoder, Maria; Gottardi, Roman; Lammer, Johannes; Wolner, Ernst; Grimm, Michael; Czerny, Martin · Ann Thorac Surg · 2007

case_report · Level V

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Abstract

Continuous enlargement of the aneurysmal sac after endovascular stent-graft treatment of thoracic aortic aneurysms due to graft wall porosities (type V endoleak) is a novel problem. Two patients having undergone prior endovascular stent-graft placement of a thoracic aortic aneurysm presented with a continuous enlargement of the aneurysmal sac without a detectable endoleak. Both patients underwent redo stent-graft placement. Subsequently, shrinkage of the aneurysmal sac could be observed. Therefore endovascular redo stent-graft placement may represent an effective means in treating type V endoleaks.

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