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"Unpredictable" Late Rupture of an Abdominal Aortic Aneurysm After Bifurcated Ancure Endograft Repair

Department of Surgery New York University Medical Center, New York, New York, noah.rosen{at}comcast.net

Neal S. Cayne, MD

Department of Surgery New York University Medical Center, New York, New York

Michael Macari, MD

Department of Radiology New York University Medical Center, New York, New York

Glenn R. Jacobowitz, MD

Department of Surgery New York University Medical Center, New York, New York

The goal of endovascular repair of an abdominal aortic aneurysm is to exclude the aneurysm from systemic arterial pressure, thereby preventing rupture. However, the long-term durability of endovascular repair continues to be in question, as aneurysm rupture after endovascular repair continues to be reported. We report the case of an 89-year-old patient who underwent endovascular repair of a 7.1-cm abdominal aortic aneurysm with an Ancure endograft 5 years earlier. Despite close follow-up and a shrinking aneurysm sac on annual contrast-enhanced computed tomography, he presented with aneurysm rupture and a new proximal type I endoleak. The endoleak and rupture were successfully repaired with endovascular placement of a main body extension.

Key Words: abdominal aortic aneurysm • endograft • endoleak • rupture

Vascular and Endovascular Surgery, Vol. 42, No. 1, 69-73 (2008)
DOI: 10.1177/1538574407308206


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