A Surgical Case for Abdominal Aortic Aneurysm with Peritoneal Dialysis Caused by the Intractable Type II Endoleak after Endovascular Aneurysm Repair

Abstract

A 62 years old man, who had been dependent on peritoneal dialysis before three years ago, had a diagnosis of abdominal aortic aneurysm and underwent endovascular aneurysm repair, but the three times catheter intervention was required because of the intractable type II endoleak. Open surgery was mandatory because of the constant dilation of abdominal aortic aneurysm. In operation, the abdominal adhesion was not founded. Ligation of the media sacral artery and lumber arteries was performed. Open surgery could be safely conducted because of the relatively short peritoneal dialysis period and no infectious event.