ArticleJournal of vascular surgery cases and innovative techniques2025
Late aneurysm sac enlargement due to type II endoleak-like bleeding following open abdominal aortic aneurysm repair.
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
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.
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