{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:40:09Z","timestamp":1745368809851,"version":"3.40.4"},"reference-count":7,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p>A 66-year-old man had an enlarging aortic aneurysm sac after an endovascular aortic replacement procedure that had been performed at another institution 4 years previously; it was without any endoleak but was complicated by the occlusion of the left limb, requiring cross-femoral bypass. Current computed tomography revealed dilatation of the proximal neck and the right common iliac artery. A type Ib endoleak was found from the distal end of the right limb of the endograft, possibly secondary to the dilatation of the artery around it; it then pressurized and caused the dilatation of the juxtarenal aorta around the proximal landing zone and induced a concomitant type Ia endoleak. The patient was operated on owing to the risk of rupture. Pelvic ischemia was a concern during decision-making. The patient underwent removal of the endograft and replacement of a bifurcated aortoiliac and femoral graft with good outcome. Midline laparotomy and a supraceliac clamping approach enable the removal of endografts with suprarenal fixation and revascularization of internal iliac arteries. Open repair offers a definitive solution for complicated endoleaks when endovascular options could be risky and ineffective.<\/jats:p>","DOI":"10.14503\/thij-20-7542","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T15:17:35Z","timestamp":1671031055000},"source":"Crossref","is-referenced-by-count":1,"title":["Open Repair of a Complicated Late Endoleak Induced by Another Endoleak"],"prefix":"10.14503","volume":"49","author":[{"given":"Anil Ziya","family":"Apaydin","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serkan","family":"Ertugay","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umit","family":"Kahraman","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman Nuri","family":"Tuncer","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ege University Medical School, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"5","key":"i1526-6702-49-6-e207542-b1","series-title":"J Vasc Surg.","first-page":"1350","article-title":"Late open conversion after endovascular abdominal aortic aneurysm repair","volume":"61","year":"2015","unstructured":"Kouvelos\nG,\n\n\nKoutsoumpelis\nA,\n\n\nLazaris\nA,\n\n\nMatsagkas\nM.\n\n\nLate open conversion after endovascular abdominal aortic aneurysm repair.\nJ Vasc Surg.2015;61(5):1350\u20131356.\ndoi:10.1016\/j.jvs.2015.02.019"},{"issue":"5","key":"i1526-6702-49-6-e207542-b2","series-title":"Eur J Vasc Endovasc Surg.","first-page":"757","article-title":"Twenty-two year multicentre experience of late open conversions after endovascular abdominal aneurysm repair","volume":"59","year":"2020","unstructured":"Perini\nP,\n\n\nGargiulo\nM,\n\n\nSilingardi\nR,\n\n\n.\nTwenty-two year multicentre experience of late open conversions after endovascular abdominal aneurysm repair.\nEur J Vasc Endovasc Surg.2020;59(5):757\u2013765.\ndoi:10.1016\/j.ejvs.2020.01.011"},{"issue":"4","key":"i1526-6702-49-6-e207542-b3","series-title":"J Vasc Surg.","first-page":"886","article-title":"Late graft explants in endovascular aneurysm repair","volume":"59","year":"2014","unstructured":"Turney\nEJ,\n\n\nSteenberge\nSP,\n\n\nLyden\nSP,\n\n\n.\nLate graft explants in endovascular aneurysm repair.\nJ Vasc Surg.2014;59(4):886\u2013893.\ndoi:10.1016\/j.jvs.2013.10.079"},{"issue":"3","key":"i1526-6702-49-6-e207542-b4","series-title":"J Vasc Surg.","first-page":"849","article-title":"Results of fenestrated and branched endovascular aortic aneurysm repair after failed infrarenal endovascular aortic aneurysm repair","volume":"72","year":"2020","unstructured":"Schanzer\nA,\n\n\nBeck\nAW,\n\n\nEagleton\nM,\n\n;\nUS Multicenter Fenestrated\/Branched Aortic Research Consortium.\n\nResults of fenestrated and branched endovascular aortic aneurysm repair after failed infrarenal endovascular aortic aneurysm repair.\nJ Vasc Surg.2020;72(3):849\u2013858.\ndoi:10.1016\/j.jvs.2019.11.026"},{"issue":"4","key":"i1526-6702-49-6-e207542-b5","series-title":"J Vasc Surg.","first-page":"1128","article-title":"Final 5-year results of the United States Zenith Fenestrated prospective multicenter study for juxtarenal abdominal aortic aneurysms","volume":"73","year":"2021","unstructured":"Oderich\nGS,\n\n\nFarber\nMA,\n\n\nSchneider\nD,\n\n;\nZenith Fenestrated Study Investigators.\n\nFinal 5-year results of the United States Zenith Fenestrated prospective multicenter study for juxtarenal abdominal aortic aneurysms.\nJ Vasc Surg.2021;73(4):1128\u20131138.\ndoi:10.1016\/j.jvs.2020.08.128"},{"issue":"3","key":"i1526-6702-49-6-e207542-b6","series-title":"Ann Surg.","first-page":"546","article-title":"Collected world experience about the performance of the snorkel\/chimney endovascular technique in the treatment of complex aortic pathologies: the PERICLES registry","volume":"262","year":"2015","unstructured":"Donas\nKP,\n\n\nLee\nJT,\n\n\nLachat\nM,\n\n\nTorsello\nG,\n\n\nVeith\nFJ;\n\nPERICLES Investigators.\n\nCollected world experience about the performance of the snorkel\/chimney endovascular technique in the treatment of complex aortic pathologies: the PERICLES registry.\nAnn Surg.2015;262(3):546\u2013553;\ndiscussion 552\u2013553. doi:10.1097\/SLA.0000000000001405"},{"issue":"4","key":"i1526-6702-49-6-e207542-b7","series-title":"J Vasc Surg.","first-page":"873","article-title":"Defining risk and identifying predictors of mortality for open conversion after endovascular aortic aneurysm repair in the vascular quality initiative","volume":"63","year":"2016","unstructured":"Scali\nS,\n\n\nBeck\nAW,\n\n\nChang\nCK,\n\n\n.\nDefining risk and identifying predictors of mortality for open conversion after endovascular aortic aneurysm repair in the vascular quality initiative.\nJ Vasc Surg.2016;63(4):873\u2013881.e1.\ndoi:10.1016\/j.jvs.2015.09.058"}],"container-title":["Texas Heart Institute 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