Resumo

JIMENEZ, César Eduardo; CORREA, Juan Rafael  e  BURGOS, Rodrigo. Late conversion of an aortic endograft to open surgery: should the endograft be removed?. rev. colomb. cir. [online]. 2013, vol.28, n.1, pp.48-53. ISSN 2011-7582.

The advent of endovascular technology for the management of aortic aneurysms has revolutionized endovascular surgery. The Endovascular Aneurysm Repair (EVAR) and the European Registry of Endovascular Surgery for infra-renal Aortic Aneurysms (EUROSTAR) trials have shown reduced 30-day morbidity and mortality rates, shorter hospital stays, and lesser use of blood products. Endovascular prostheses must be strictly life-long followed by clinical examination and diagnostic imaging, in order to detect possible migration of the endograft or leaks (endoleaks) that could generate rupture of the aneurysm. We report the case of an abdominal aortic stent placed in 2004 with late endoleak and aneurysmal growth with an initial failed attempt of management by endosurgery technique, that finally required explantation of the endograft and conversion to the surgical placement of a conventional Dacron synthetic graft with good results.

Palavras-chave : aortic aneurysm; vascular surgical procedures; endovascular procedures; blood vessel prosthesis.

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