ENDOLEAK TIPO IIIB: A CASE REPORT
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.169 |
Resumo: | The endovascular aneurysm repair (EVAR) allowed a reduction of short-term morbidity and mortality; however, late endoleaks are a permanent cause of concern. Type IIIb endoleaks arise from a defect in the endograft and are associated with a high risk of rupture. In this paper, the authors describe the case of an 81-year-old male patient, submitted in 2013 to EVAR due to an abdominal aortic aneurysm of 87mm. Aneurysmatic sac growth was observed after the first 2 years, reaching 100 mm, without any evidence of endoleaks. The patient underwent open surgery: the aneurysmatic sac was opened, and a type IIIb endoleak was diagnosed; hemostasis and omentoplasty were performed. Late type IIIb endoleaks are difficult to diagnose, sometimes only upon opening of the aneurysmatic sac. Given the potential for severe complications, correction of this type of endoleaks is indicated. The open approach allows a definitive correction, and is an option to consider. |
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ENDOLEAK TIPO IIIB: A CASE REPORTENDOLEAK TIPO IIIB: A PROPÓSITO DE UM CASO CLÍNICOAneurysmEndoleakOmentoplastyAneurismaEndoleakEpiplonplastiaThe endovascular aneurysm repair (EVAR) allowed a reduction of short-term morbidity and mortality; however, late endoleaks are a permanent cause of concern. Type IIIb endoleaks arise from a defect in the endograft and are associated with a high risk of rupture. In this paper, the authors describe the case of an 81-year-old male patient, submitted in 2013 to EVAR due to an abdominal aortic aneurysm of 87mm. Aneurysmatic sac growth was observed after the first 2 years, reaching 100 mm, without any evidence of endoleaks. The patient underwent open surgery: the aneurysmatic sac was opened, and a type IIIb endoleak was diagnosed; hemostasis and omentoplasty were performed. Late type IIIb endoleaks are difficult to diagnose, sometimes only upon opening of the aneurysmatic sac. Given the potential for severe complications, correction of this type of endoleaks is indicated. The open approach allows a definitive correction, and is an option to consider.Os endoleaks (EL) do tipo IIIb resultam de um defeito no tecido da endoprótese e são uma complicação tardia rara, mas grave, inerente à correção endovascular de aneurismas da aorta (EVAR). Neste trabalho, os autores descrevem o caso de um homem de 81 anos submetido em 2013 a EVAR, devido a aneurisma da aorta abdominal (AAA) de 87mm. O procedimento decorreu sem intercorrências, assim como os primeiros dois anos de follow-up, após os quais, houve um crescimento gradual do saco aneurismático até aos 100mm, sem haver, no entanto, qualquer evidência de EL na angiotomografia computorizada (angioTC). O doente foi submetido a laparotomia exploradora, com abertura do saco aneurismático e constatação intra-operatória de EL tipo IIIb, tendo sido realizada hemostase e epiploplastia. O diagnóstico deste tipo de EL é difícil e muitas vezes apenas realizado intra-operatoriamente. Contudo, dado o elevado risco associado a esta complicação do EVAR, deve ser mantido um elevado índice de suspeição diagnóstica e a sua correção realizada atempadamente. Neste cenário, e dado não haver atualmente um gold standard de tratamento, a cirurgia aberta assume-se como uma arma terapêutica valiosa que permite não só o diagnóstico, como uma correção definitiva destas complicações.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2020-04-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.169oai:ojs.acvjournal.com:article/169Angiologia e Cirurgia Vascular; Vol. 16 No. 1 (2020): March; 41-43Angiologia e Cirurgia Vascular; Vol. 16 N.º 1 (2020): Março; 41-432183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://acvjournal.com/index.php/acv/article/view/169https://doi.org/10.48750/acv.169http://acvjournal.com/index.php/acv/article/view/169/173Copyright (c) 2020 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessLemos Gomes, MiguelLopes, AliceSobrinho, GonçaloRibeiro, KarlaLeitão, JoãoMendes Pedro, Luís2022-05-23T15:10:03ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
ENDOLEAK TIPO IIIB: A CASE REPORT ENDOLEAK TIPO IIIB: A PROPÓSITO DE UM CASO CLÍNICO |
title |
ENDOLEAK TIPO IIIB: A CASE REPORT |
spellingShingle |
ENDOLEAK TIPO IIIB: A CASE REPORT Lemos Gomes, Miguel Aneurysm Endoleak Omentoplasty Aneurisma Endoleak Epiplonplastia |
title_short |
ENDOLEAK TIPO IIIB: A CASE REPORT |
title_full |
ENDOLEAK TIPO IIIB: A CASE REPORT |
title_fullStr |
ENDOLEAK TIPO IIIB: A CASE REPORT |
title_full_unstemmed |
ENDOLEAK TIPO IIIB: A CASE REPORT |
title_sort |
ENDOLEAK TIPO IIIB: A CASE REPORT |
author |
Lemos Gomes, Miguel |
author_facet |
Lemos Gomes, Miguel Lopes, Alice Sobrinho, Gonçalo Ribeiro, Karla Leitão, João Mendes Pedro, Luís |
author_role |
author |
author2 |
Lopes, Alice Sobrinho, Gonçalo Ribeiro, Karla Leitão, João Mendes Pedro, Luís |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lemos Gomes, Miguel Lopes, Alice Sobrinho, Gonçalo Ribeiro, Karla Leitão, João Mendes Pedro, Luís |
dc.subject.por.fl_str_mv |
Aneurysm Endoleak Omentoplasty Aneurisma Endoleak Epiplonplastia |
topic |
Aneurysm Endoleak Omentoplasty Aneurisma Endoleak Epiplonplastia |
description |
The endovascular aneurysm repair (EVAR) allowed a reduction of short-term morbidity and mortality; however, late endoleaks are a permanent cause of concern. Type IIIb endoleaks arise from a defect in the endograft and are associated with a high risk of rupture. In this paper, the authors describe the case of an 81-year-old male patient, submitted in 2013 to EVAR due to an abdominal aortic aneurysm of 87mm. Aneurysmatic sac growth was observed after the first 2 years, reaching 100 mm, without any evidence of endoleaks. The patient underwent open surgery: the aneurysmatic sac was opened, and a type IIIb endoleak was diagnosed; hemostasis and omentoplasty were performed. Late type IIIb endoleaks are difficult to diagnose, sometimes only upon opening of the aneurysmatic sac. Given the potential for severe complications, correction of this type of endoleaks is indicated. The open approach allows a definitive correction, and is an option to consider. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-30T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.169 oai:ojs.acvjournal.com:article/169 |
url |
https://doi.org/10.48750/acv.169 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/169 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/169 https://doi.org/10.48750/acv.169 http://acvjournal.com/index.php/acv/article/view/169/173 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 16 No. 1 (2020): March; 41-43 Angiologia e Cirurgia Vascular; Vol. 16 N.º 1 (2020): Março; 41-43 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
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repository.mail.fl_str_mv |
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1777301156141203456 |