Collapsed bifurcated modular infrarenal endograft

Animesh Rathore, Peter Gloviczki, Gustavo S. Oderich, Thomas C. Bower

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Bilateral acute limb ischemia after endovascular aneurysm repair is extremely rare. We present the case of a 70-year-old man treated by endovascular aneurysm repair for a 7.9-cm asymptomatic infrarenal abdominal aortic aneurysm using a bifurcated modular GORE EXCLUDER endoprosthesis (W. L. Gore & Associates, Flagstaff, Ariz). The initial recovery was uneventful, but 14 days later, the patient presented with bilateral acute limb ischemia caused by collapse and thrombosis of the endograft, requiring emergency axillobifemoral bypass, fasciotomies, and subsequent endograft removal with open aneurysm repair. The patient had no other complications at 7 months of follow-up. Oversizing of a GORE EXCLUDER graft because of a conical neck, a small bird-beak configuration, and a long angulated neck with aortoiliac tortuosity were potential contributing factors to endograft infolding and collapse.

Original languageEnglish (US)
Pages (from-to)600-605
Number of pages6
JournalJournal of vascular surgery
Volume70
Issue number2
DOIs
StatePublished - Aug 2019

Keywords

  • Abdominal aortic aneurysm
  • Acute limb ischemia
  • Endograft collapse
  • Endograft infolding
  • Endovascular repair

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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