Late type III endoleak from fabric tears of a zenith stent graft: report of a case

Surg Today. 2012 Dec;42(12):1206-9. doi: 10.1007/s00595-012-0320-8. Epub 2012 Sep 14.


We report a case of late type III B endoleak from a fabric tear in the main body of a Zenith bifurcated stent-graft approximately 19 months after implantation. A follow-up computed tomography (CT) scan showed gradual growth in the size of the aneurysm, but no apparent endoleak was recognized. However, the CT scan had demonstrated a mosaic pattern in the aneurysm sac, which could indicate an endoleak from a fabric tear. The defect was repaired by implantation of body extensions, but the patient died 5 h after the procedure.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / therapy*
  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation
  • Endoleak / diagnostic imaging
  • Endoleak / etiology*
  • Endovascular Procedures / adverse effects
  • Fatal Outcome
  • Follow-Up Studies
  • Humans
  • Kidney Failure, Chronic / complications
  • Male
  • Prosthesis Design
  • Prosthesis Failure / adverse effects*
  • Pulmonary Disease, Chronic Obstructive / complications
  • Stents / adverse effects
  • Tomography, X-Ray Computed