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

Hiroshi Banno; Hirofumi Morimae; Tsutomu Ihara; Masayoshi Kobayashi; Kiyohito Yamamoto; Kimihiro Komori

doi:10.1007/s00595-012-0320-8

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.

Authors

Hiroshi Banno¹, Hirofumi Morimae, Tsutomu Ihara, Masayoshi Kobayashi, Kiyohito Yamamoto, Kimihiro Komori

Affiliation

¹ Division of Vascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. hbanno@med.nagoya-u.ac.jp

PMID: 22975799
DOI: 10.1007/s00595-012-0320-8

Abstract

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