• Umberto M Bracale, Clark J Zeebregts, Ben R Saleem, Ted R Prins, and Eric L G Verhoeven.
• Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands.
• Emerg Radiol. 2009 May 1;16(3):239-42.

AbstractThe aim of the study was to describe the successful endovascular management of a patient who was admitted urgently with a second episode of acute abdominal aortic aneurysm (AAA) 30 months after emergency endovascular abdominal aortic aneurysm repair (eEVAR) for a ruptured AAA. The patient, an 84 year-old male physician, presented with severe acute abdominal and back pain. Contrast-enhanced computer tomography scanning showed type III endoleak owing to complete disconnection of both graft limbs and the prosthetic main body. Treatment consisted of acute stent-grafting with two bridging stent-grafts to seal the endoleak and reline the graft. The patient is alive and well 6 months postoperatively. This case indicates the need for follow-up after eEVAR, but also that complications can be managed endovascularly.

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