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Ann Thorac Surg 2007;83:664-666
© 2007 The Society of Thoracic Surgeons

Case Reports

Treatment of Type V Endoleaks by Endovascular Redo Stent-Graft Placement

Daniel Zimpfer, MDa, Maria Schoder, MDb, Roman Gottardi, MDa, Johannes Lammer, MDb, Ernst Wolner, MDa, Michael Grimm, MDa, Martin Czerny, MDa,*

a Department of Cardiothoracic Surgery, University of Vienna Medical School, Vienna, Austria
b Department of Angiography and Interventional Radiology, University of Vienna Medical School, Vienna, Austria

Accepted for publication June 20, 2005.

* Address correspondence to Dr Czerny, Waehringer Guertel 18-20, Vienna, Austria, A-1090. (Email: bypass{at}eunet.at).

Continuous enlargement of the aneurysmal sac after endovascular stent-graft treatment of thoracic aortic aneurysms due to graft wall porosities (type V endoleak) is a novel problem. Two patients having undergone prior endovascular stent-graft placement of a thoracic aortic aneurysm presented with a continuous enlargement of the aneurysmal sac without a detectable endoleak. Both patients underwent redo stent-graft placement. Subsequently, shrinkage of the aneurysmal sac could be observed. Therefore endovascular redo stent-graft placement may represent an effective means in treating type V endoleaks.




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