Abstract

Although the majority of intercostal type II endoleaks, retrograde aortic branch flows into the aneurysm sac, after thoracic endovascular aortic repair (TEVAR) of a descending thoracic aortic aneurysm generally resolve without any reintervention,1,2 we report a rare case of aneurysm expansion caused by an intercostal type II endoleak 7 years after TEVAR for secondary elephant trunk graft (ETG) fixation.

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