2018 Volume 27 Issue 4 Pages 309-312
Aneurysm dilatation and endoleak after endovascluar aortic repair (EVAR) requires the secondary intervention. We report a case of the secondary endovascular aortic repair for abdominal aneurysm dilatation with type 1a and type 2 endoleak. 88-year-old male underwent EVAR for infrarenal abdominal aortic aneurysm in 2.5 years ago. Computed tomography (CT) and angiography showed increasing the size of excluded aneurysm and type 1a and type 2 endoleak. Proximal landing zone below the left renal artery was not short, however, the origin of the right renal artery was located 15 mm proximal side to that of the left renal artery. Hand-made fenestrated aortic extension with a window of the left renal artery was successfully placed below the right renal artery. Postoperative CT showed disappearance of endoleak. This may be an alternative procedure for type 1a endoleak after EVAR.
