ArticleAustralasian journal of ultrasound in medicine2020
Symptomatic infrarenal aortic aneurysm sac expansion 5 years post-endovascular repair without an identifiable endoleak.
Article in Australasian journal of ultrasound in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 4 citations in OpenAlex.
- CIRSE Standards of Practice on Management of Endoleaks Following Endovascular Aneurysm Repair.Cardiovascular and interventional radiology · 2024Article
- Endograft position and endoleak detection after endovascular abdominal aortic repair with low-field tiltable MRI: a feasibility study.European radiology experimental · 2023Article
- Enlarging aneurysm sac post EVAR - type V or occult type II Endoleak?CVIR endovascular · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
A 71-year-old male presented with a symptomatic expanding 11 cm infrarenal aortic aneurysm 5 years post-endovascular aortic repair. Duplex ultrasound and angiography showed no identifiable endoleak but confirmed an enlarging aneurysm sac with a new saccular configuration. The ultrasound findings were particularly unusual in that the aneurysm sac was a mixture of hardened echogenic material and an anechoic fluid-like substance, with the echogenic material appearing to float around the sac with gravitational dependence. Open surgical intervention was performed. The aneurysm appeared pressurised with forceful expulsion of the sac contents post-incision, though again no endoleak was identified. The sac contents were confirmed as a mixture of clear fluid and hardened haematoma. At 6 weeks follow-up there was complete return of the aneurysm sac almost to its pre-open surgery state. Multiple endoleak theories were considered from initial imaging through to follow-up.
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