• Byeoung Hoon Chung, Hee Chul Yu, Jae Do Yang, Mi Rin Lee, Min Ro Lee, and Hong Pil Hwang.
• Department of Surgery, Jeonbuk National University Medical School.
• Medicine (Baltimore). 2021 May 7; 100 (18): e25732e25732.

IntroductionAlthough the clinical significance of type II endoleaks remain controversial, management strategies continue to expand. The laparoscopic approach is a minimally invasive method for persistent type II endoleak repair after endovascular aneurysm repair.Patient ConcernsA 70 - year - old male patient with a history of endovascular aneurysm repair with left internal iliac artery embolization presented with persistent type II endoleak from the lumbar arteries 2 years ago. The aneurysm sac size had increased more than 10 mm during follow up period.DiagnosisPersistent type II endoleak after endovascular aneurysm repair.InterventionsTransarterial embolization was attempted and failed. A minimally invasive laparoscopic lumbar artery ligation was then utilized.OutcomesThe patient was discharged without any complications after surgery. Follow-up computed tomography angiography has shown the complete disappearance of the type II endoleaks.ConclusionsLaparoscopic lumbar artery ligation may be a safe and effective alternative treatment for type II endoleaks, especially in high resource settings.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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