Abstract

MONDRAGON ZAMORA, Jennifer et al. Case report of endotension associated with appendicitis. Angiología [online]. 2020, vol.72, n.5, pp.273-276.  Epub Nov 30, 2020. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00146.

Endovascular aneurysm repair (EVAR) is an important treatment option for abdominal aortic aneurysms. An endoleak is a common complication following EVAR.

A 55-year-old man underwent elective EVAR with a bifurcated graft for a 84 mm infrarenal abdominal aortic aneurysm (AAA). Follow-up a showed appropriate reduction of the AAA to 42 mm. A duplex ultrasound at fourth year follow up showed an increase of AAA sac size to 46 mm with no observable endoleaks. A subsequent CTA showed an increase of AAA sac size to 55 mm with no observable endoleaks. A new CTA at 3 months follow up showed a rapid increase of AAA sac size to 73 mm with no observable endoleaks. We decided to perform open surgery. We found appendicular fistula in contact with aneurysmal sac with an inflammatory appearance in the aortic-appendicular contact area. The patient was successfully treated and no severe complications occurred during the 7 months follow-up.

Keywords : Endoleak; Perigraft leak; Aortic aneurysm; Abdominal aortic aneurysm; Endotension.

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