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血管腔内修复术后晚期腹主动脉破裂，仅由II型内漏引起，无其他类型内漏。

Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak.

作者信息

Shimano Ryo, Takeuchi Koh, Komatsu Takuya, Inamura Junzo, Miyazaki Suguru, Akita Masafumi

机构信息

Department of Cardiovascular Surgery, Shinmatsudo Central General Hospital, 1-380 Shinmatsudo, Matsudo, Chiba 270-0034, Japan.

Department of Cardiovascular Surgery, Kobari General Hospital, 29-1 Yokouchi, Noda, Chiba 278-0004Japan.

出版信息

J Surg Case Rep. 2024 Dec 18;2024(12):rjae792. doi: 10.1093/jscr/rjae792. eCollection 2024 Dec.

DOI:10.1093/jscr/rjae792
PMID:39697277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11655118/
Abstract

Rupture of abdominal aortic aneurysm (AAA) due to an isolated type II endoleak (TIIEL) is rarely reported, accounting for less than 1% of all TIIELs; typically, rupture associated with TIIEL is accompanied by type I or type III endoleaks. We report a case of ruptured AAA secondary to TIIEL without any other types of endoleaks, occurring late after endovascular abdominal aortic repair (EVAR). A 77-year-old man with a history of EVAR 11 years earlier presented with abdominal pain. Computed tomography revealed a ruptured AAA, likely due to TIIEL from the lumbar artery. He was on warfarin for atrial fibrillation, and his preoperative PT-INR was 6.05. After administering lyophilized human prothrombin complex concentrate, lumbar artery ligation and aneurysmorrhaphy were performed. Intraoperatively, there was pulsatile bleeding from the lumbar artery, which was sutured closed. No other types of endoleaks were observed. The postoperative course was uneventful, and the patient was discharged home.

摘要

因孤立性Ⅱ型内漏（TIIEL）导致腹主动脉瘤（AAA）破裂的情况鲜有报道，占所有TIIEL的比例不到1%；通常，与TIIEL相关的破裂伴有Ⅰ型或Ⅲ型内漏。我们报告一例继发于TIIEL的AAA破裂病例，无任何其他类型的内漏，发生在血管腔内腹主动脉修复术（EVAR）后较晚时间。一名77岁男性，11年前有EVAR病史，出现腹痛。计算机断层扫描显示AAA破裂，可能是由于来自腰动脉的TIIEL。他因心房颤动正在服用华法林，术前PT-INR为6.05。给予冻干人凝血酶原复合物浓缩剂后，进行了腰动脉结扎和动脉瘤缝合术。术中，腰动脉有搏动性出血，予以缝合关闭。未观察到其他类型的内漏。术后病程平稳，患者出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/c2354ffd6840/rjae792f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/be827324df2a/rjae792f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/a5c94e9a946a/rjae792f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/fa9c6cd1f76e/rjae792f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/af52115ba155/rjae792f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/c2354ffd6840/rjae792f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/be827324df2a/rjae792f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/a5c94e9a946a/rjae792f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/fa9c6cd1f76e/rjae792f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/af52115ba155/rjae792f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5743/11655118/c2354ffd6840/rjae792f5.jpg

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本文引用的文献

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Eur J Vasc Endovasc Surg. 2024 Feb;67(2):192-331. doi: 10.1016/j.ejvs.2023.11.002. Epub 2024 Jan 23.
2
Long-term anticoagulation is associated with type II endoleaks and failure of sac regression after endovascular aneurysm repair.长期抗凝与血管内动脉瘤修复后 II 型内漏和瘤囊退缩失败有关。
J Vasc Surg. 2022 Aug;76(2):437-444.e2. doi: 10.1016/j.jvs.2022.01.144. Epub 2022 Feb 25.
3
Incidence, natural course, and outcome of type II endoleaks in infrarenal endovascular aneurysm repair based on the ENGAGE registry data.
基于 ENGAGE 注册研究数据的肾下型腹主动脉瘤腔内修复术后 II 型内漏的发生率、自然病程和转归。
J Vasc Surg. 2020 Mar;71(3):780-789. doi: 10.1016/j.jvs.2019.04.486. Epub 2019 Aug 20.
4
Endovascular Aneurysm Repair With Inferior Mesenteric Artery Embolization for Preventing Type II Endoleak: A Prospective Randomized Controlled Trial.血管内动脉瘤修复伴肠系膜下动脉栓塞术预防 II 型内漏：一项前瞻性随机对照试验。
Ann Surg. 2020 Feb;271(2):238-244. doi: 10.1097/SLA.0000000000003299.
5
Type II endoleak after endovascular aneurysm repair.血管内动脉瘤修复术后 II 型内漏。
Br J Surg. 2013 Sep;100(10):1262-70. doi: 10.1002/bjs.9181.
6
Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition.腹主动脉瘤血管内修复术后 II 型内漏并不总是良性的。
J Vasc Surg. 2013 May;57(5):1291-7. doi: 10.1016/j.jvs.2012.10.118. Epub 2013 Mar 7.
7
Endovascular versus open repair of abdominal aortic aneurysm.血管内与开放修复腹主动脉瘤。
N Engl J Med. 2010 May 20;362(20):1863-71. doi: 10.1056/NEJMoa0909305. Epub 2010 Apr 11.
8
Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes.腹主动脉瘤血管腔内修复术后持续存在的2型内漏与不良的晚期预后相关。
J Vasc Surg. 2007 Jul;46(1):1-8. doi: 10.1016/j.jvs.2007.02.073. Epub 2007 Jun 1.
9
An algorithm for diagnosis and treatment of type II endoleaks and endotension after endovascular aneurysm repair.
Perspect Vasc Surg Endovasc Ther. 2005 Jun;17(2):167-72. doi: 10.1177/153100350501700222.
10
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Cardiovasc Intervent Radiol. 2005 Jan-Feb;28(1):110-2. doi: 10.1007/s00270-004-0149-7.