Abstract
An 83 year old man had undergone endostapled endovascular aneurysm repair of an abdominal aortic aneurysm, with deployment of four Heli-FX EndoAnchors (Medtronic, Minneapolis, MN, USA), six years previously. Under regular surveillance, his most recent abdominal X-ray indicated that one EndoAnchor had dislodged, travelling down the right iliac limb (A). A computed tomography scan revealed it to be in a gluteal artery (B). It is likely that this event resulted from inadequate aortic wall penetration with continuing aortic neck dilatation and the shearing effect of aortic blood flow. The patient was asymptomatic and thus no further treatment was deemed necessary.Image 1
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