A Unique Case of an Expanded Polytetrafluoroethylene Graft Rupture 14 Years after Abdominal Aortic Aneurysm Open Repair Managed with Placement of a Thoracic Endograft.

Peter Zampakis,Ioannis Ntouvas,Stavros K Kakkos,Konstantinos Katsanos,Loukia Alexopoulou-Prounia,Chrysanthi P Papageorgopoulou,Polyzois Tsantrizos

doi:10.1055/s-0041-1736652

Abstract

We report a unique case of expanded polytetrafluoroethylene (ePTFE) tube graft rupture that occurred 14 years after abdominal aortic aneurysm (AAA) repair. Endovascular repair with a thoracic endograft was performed. Postoperatively, an increase in the size of the existing hematoma with active extravasation occurred and was managed with iliolumbar artery embolization. Τo the best of our knowledge, rupture of ePTFE graft used for AAA repair has not been reported in the literature.

Highlights

Among the various prosthetic graft types used for abdominal aortic aneurysm (AAA) repair, polyethylene terephthalate grafts, marketed as Dacron, are commonly used
We report a unique case of expanded polytetrafluoroethylene tube graft rupture that occurred 14 years after abdominal aortic aneurysm (AAA) repair
Cases of ePTFE graft rupture have been reported when used for axillofemoral bypass grafting,[1,2] to date no case of rupture of an ePTFE graft used for AAA repair has been reported in the literature

Summary

Introduction

Among the various prosthetic graft types used for abdominal aortic aneurysm (AAA) repair, polyethylene terephthalate grafts, marketed as Dacron, are commonly used. Keywords ► abdominal aortic aneurysm ► endovascular repair ► graft rupture ► iliolumbar embolization We report a unique case of expanded polytetrafluoroethylene (ePTFE) tube graft rupture that occurred 14 years after abdominal aortic aneurysm (AAA) repair.

Results

Conclusion