Abstract
An 84 year old man was admitted as an emergency with abdominal and lower back pain. Four years previously, his infrarenal aortic aneurysm had been repaired endovascularly (Endurant II, Medtronic Cardiovascular, Santa Rosa, CA, USA) and inferior mesenteric and lumbar artery type II endoleaks had been treated by embolisation. (A) Computed tomography angiography showed an 11 cm infrarenal abdominal aneurysm perfused by a probable endoprosthesis defect (arrow). (B) The endoprosthesis main body was surgically explanted and showed a hole which caused the endoleak (arrow). The aorta was reconstructed with a dacron prosthesis (InterGard Silver, InterVascular, La Ciotat, France).Image 1
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