A Surgical Case for Large Abdominal Aortic Aneurysm Caused by Type II Endoleak after Endovascular Aneurysm Repair; Direct Clipping of Lumbar Arteries after Opening Aneurysm

Abstract

We surgically treated a patient with large abdominal aortic aneurysm (AAA), which was gradually enlarged due to type II endoleak after endovascular aneurysm repair (EVAR). The catheter intervention was unsuccessful. To prevent migration and deforming of the stent, the large aneurysm was directly opened with minimum manipulation of the stent and surgical hemostasis was achieved by primary clipping of lumbar arteries. This approach would be safe and useful for such patients with large AAA caused by type II endoleak after EVAR.