2024 Volume 33 Issue 3 Pages 161-165
75-year-old man had a past medical history of endovascular aortic repair using a Talent endograft for abdominal aortic aneurysm (AAA) 11 years before at our institution. He was referred to our hospital because a 10-mm diameter enlargement of the aneurysm caused by Type II endoleak (EL) was recognized. He underwent coil embolization of the inferior mesenteric artery. However, he presented with acute lumbago 5 months later. Computed tomography revealed ruptured AAA with extravasation of the contrast medium from the right limb of the Talent endograft, suggesting Type IIIb EL. He underwent emergent laparotomy. A 10×5 mm perforation at the proximal right limb of a Talent endograft was noted. The stent graft was partially removed and a Y-graft replacement was successfully performed. He was discharged 14 postoperative day without any complications. Here, we report a rare case of AAA rupture caused by Type IIIb EL resulted from a giant fabric tear 11 years after the placement of a Talent endograft.
