Academic Journal
Conservative management of ruptured abdominal aortic aneurysm secondary to type II endoleak.
| Τίτλος: | Conservative management of ruptured abdominal aortic aneurysm secondary to type II endoleak. |
|---|---|
| Συγγραφείς: | Chan CL; Department of Vascular Surgery, Nepean Hospital, Kingswood, NSW, Australia., Lee AD; Department of Vascular Surgery, Nepean Hospital, Kingswood, NSW, Australia. |
| Πηγή: | Vascular [Vascular] 2026 Aug; Vol. 34 (4), pp. 762-765. Date of Electronic Publication: 2026 Feb 14. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Country of Publication: England NLM ID: 101196722 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-539X (Electronic) Linking ISSN: 17085381 NLM ISO Abbreviation: Vascular Subsets: MEDLINE |
| Imprint Name(s): | Publication: Dec. 2012- : London : Sage Original Publication: Hamilton, Ont., Canada : BC Decker, [2004]- |
| Ιατρικοί όροι (MeSH): | Endoleak*/diagnostic imaging , Endoleak*/etiology , Endoleak*/therapy , Aortic Aneurysm, Abdominal*/diagnostic imaging , Aortic Aneurysm, Abdominal*/therapy , Aortic Aneurysm, Abdominal*/etiology , Aortic Aneurysm, Abdominal*/physiopathology , Aortic Rupture*/diagnostic imaging , Aortic Rupture*/etiology , Aortic Rupture*/therapy , Aortic Rupture*/physiopathology , Endovascular Aneurysm Repair*/adverse effects , Blood Vessel Prosthesis Implantation*/adverse effects , Conservative Treatment* , Embolization, Therapeutic*, Aortography/methods ; Humans ; Male ; Aged, 80 and over ; Treatment Outcome |
| Περίληψη: | ObjectivesPrimary ruptured abdominal aortic aneurysm (rAAA) survival has been described in a few case reports; however, to our knowledge, there is no existing literature regarding rAAA survival secondary to isolated type II endoleak (T2EL). We aim to report a rare case of non-operative management for a T2EL-associated rAAA.MethodsAn 89-year-old man with a history of endovascular aneurysm repair (EVAR) and persistent T2EL presented with acute abdominal pain and hypotension. Computed topography angiography (CTA) confirmed rAAA with retroperitoneal haematoma. Given his advanced age, comorbidities, and initial preference against surgery, non-operative management was chosen.ResultsAfter resuscitation, the patient remained stable and was discharged 5 days later. A 4-week follow-up CTA showed haematoma resolution, despite mild enlargement of the aneurysm sac. He underwent elective embolization 2- and 4-month post-rupture. One year later, he represented with acute limb ischaemia. At the time, the treated aneurysm remained stable without endoleak.ConclusionThis case study sheds light on the possible different natural history between post-EVAR rAAA and primary rAAA, highlighting the possibility of non-operative management in select hemodynamically stable patients with rAAA after EVAR. While rare, rupture can occur from T2EL, underscoring the need for close surveillance among at risk population. |
| Competing Interests: | Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: Abdominal aortic aneurysm; endovascular aneurysm repair; non-operative management; type II endoleak |
| Entry Date(s): | Date Created: 20260214 Date Completed: 20260820 Latest Revision: 20260820 |
| Update Code: | 20260821 |
| DOI: | 10.1177/17085381261425718 |
| PMID: | 41689835 |
| Βάση Δεδομένων: | MEDLINE |
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