Endovascular treatment of type II endoleak following endovascular abdominal aortic aneurysm repair

Abstract

This article presents the clinical observation of the diagnosis and treatment of type II endoleak – complications in the late postoperative period following endoprosthetics of an aneurysm of the infrarenal abdominal aorta in a 64-year-old patient . On the regular follow-up MSCT- angiography , the growth of aneurysmal sac was detected with no obvious signs for the presence of endoleak . During selective angiography of superior mesenteric artery , the path of blood reflux into the isolated aneurysm cavity from the trunk of the inferior mesenteric artery was well visualized . Embolization of the inferior mesenteric artery was performed . Rare anatomical variant of blood supply to the splenic angle and descending colon was revealed . This clinical case describes an effective method for eliminating type II endoleak .