{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T02:35:27Z","timestamp":1781663727385,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Rupture of abdominal aortic aneurysm (AAA) due to an isolated type II endoleak (TIIEL) is rarely reported, accounting for less than 1% of all TIIELs; typically, rupture associated with TIIEL is accompanied by type I or type III endoleaks. We report a case of ruptured AAA secondary to TIIEL without any other types of endoleaks, occurring late after endovascular abdominal aortic repair (EVAR). A 77-year-old man with a history of EVAR 11\u00a0years earlier presented with abdominal pain. Computed tomography revealed a ruptured AAA, likely due to TIIEL from the lumbar artery. He was on warfarin for atrial fibrillation, and his preoperative PT-INR was 6.05. After administering lyophilized human prothrombin complex concentrate, lumbar artery ligation and aneurysmorrhaphy were performed. Intraoperatively, there was pulsatile bleeding from the lumbar artery, which was sutured closed. No other types of endoleaks were observed. The postoperative course was uneventful, and the patient was discharged home.<\/jats:p>","DOI":"10.1093\/jscr\/rjae792","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T23:16:14Z","timestamp":1734563774000},"source":"Crossref","is-referenced-by-count":3,"title":["Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak"],"prefix":"10.1093","volume":"2024","author":[{"given":"Ryo","family":"Shimano","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Shinmatsudo Central General Hospital , 1-380 Shinmatsudo, Matsudo, Chiba 270-0034 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koh","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shinmatsudo Central General Hospital , 1-380 Shinmatsudo, Matsudo, Chiba 270-0034 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shinmatsudo Central General Hospital , 1-380 Shinmatsudo, Matsudo, Chiba 270-0034 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junzo","family":"Inamura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobari General Hospital , 29-1 Yokouchi, Noda, Chiba 278-0004","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, International University of Health and Welfare Mita Hospital , 1-4-3 Mita, Minato, Tokyo 108-8329","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Akita","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, International University of Health and Welfare Mita Hospital , 1-4-3 Mita, Minato, Tokyo 108-8329","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"2024121823160446500_ref1","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1056\/NEJMoa0909305","article-title":"Endovascular versus open repair of abdominal aortic aneurysm","volume":"362","author":"United Kingdom EVAR Trial Investigators","year":"2010","journal-title":"N Engl J Med"},{"key":"2024121823160446500_ref2","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1016\/j.jvs.2012.10.118","article-title":"Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition","volume":"57","author":"El Batti","year":"2013","journal-title":"J Vasc 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Aneurysms","volume":"67","author":"Wanhainen","year":"2024","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2024121823160446500_ref9","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.jvs.2022.01.144","article-title":"Long-term anticoagulation is associated with type II endoleaks and failure of sac regression after endovascular aneurysm repair","volume":"76","author":"Kong","year":"2022","journal-title":"J Vasc Surg"},{"key":"2024121823160446500_ref10","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1007\/s00270-004-0149-7","article-title":"Percutaneous ultrasound-guided thrombin injection for endoleaks: an alternative","volume":"28","author":"Kasthuri","year":"2005","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2024121823160446500_ref11","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1097\/SLA.0000000000003299","article-title":"Endovascular aneurysm repair with inferior mesenteric artery embolization for preventing type II endoleak: a prospective randomized controlled trial","volume":"271","author":"Samura","year":"2020","journal-title":"Ann Surg"}],"container-title":["Journal of Surgical Case 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