Efficacy of contrast-enhanced ultrasonography in detecting graft rupture sites after abdominal aortic aneurysm repair

Interact Cardiovasc Thorac Surg. 2014 Feb;18(2):250-2. doi: 10.1093/icvts/ivt485. Epub 2013 Nov 11.

Abstract

Non-anastomotic graft rupture is a rare but critical complication after abdominal aortic aneurysm (AAA) repair. Therefore, identifying the rupture sites is important to perform endovascular stent grafting. A 78-year old man who had undergone Y-grafting for infrarenal AAA before 17 years was referred to our hospital with the complaints of abdominal pain. Computed tomography revealed acute pancreatitis and an enlargement around the grafted abdominal aorta. Contrast-enhanced ultrasonography revealed an extravazation from the graft body 1.5 cm distal to the proximal anastomosis, and endovascular stent grafting was successfully performed. Contrast-enhanced ultrasonography might be useful in detecting the graft rupture.

Keywords: Abdominal; Aortic aneurysm; Contrast-enhanced ultrasonography; Endovascular procedures; Graft rupture.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Rupture / diagnostic imaging*
  • Aortic Rupture / etiology
  • Aortic Rupture / surgery
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Contrast Media*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Ferric Compounds*
  • Humans
  • Iron*
  • Male
  • Oxides*
  • Predictive Value of Tests
  • Prosthesis Failure*
  • Reoperation
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler*

Substances

  • Contrast Media
  • Ferric Compounds
  • Oxides
  • Sonazoid
  • Iron