Open Reintervention for Aneurysmal Sac Enlargement after EVAR

Genta Chikazawa; Arudo Hiraoka; Yuuki Hirai; Kentaro Tamura; Toshinori Totsugawa; Atsuhisa Ishida; Taichi Sakaguchi; Hidenori Yoshitaka

doi:10.3400/avd.hdi.14-00052

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Open Reintervention for Aneurysmal Sac Enlargement after EVAR

Genta Chikazawa, Arudo Hiraoka, Yuuki Hirai, Kentaro Tamura, Toshinori Totsugawa, Atsuhisa Ishida, Taichi Sakaguchi, Hidenori Yoshitaka

Author information

Genta Chikazawa
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Arudo Hiraoka
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Yuuki Hirai
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Kentaro Tamura
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Toshinori Totsugawa
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Atsuhisa Ishida
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Taichi Sakaguchi
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
Hidenori Yoshitaka
Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan

Keywords: EVAR, endoleak, sac enlargement

JOURNAL FREE ACCESS

2014 Volume 7 Issue 3 Pages 350-353

DOI https://doi.org/10.3400/avd.hdi.14-00052

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Abstract

We performed a late open reintervention for aneurysmal sac enlargement due to persistent type 2 endoleak (PT2EL) after EVAR for 8 of 286 patients. Surgical techniques are as follows: (1) The entire aneurysmal body was exposed. (2) All the aortic branched vessels were ligated. (3) The aneurysmal sac was opened followed by the performance of complete hemostasis. (4) An equine pericardium was wrapped and sutured to the aneurysmal sac to for reinforcement. This method is considered to be one of the feasible options for the treatment of aneurysmal sac re-enlargement after EVAR.

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