Efficacy of contrast-enhanced ultrasonography in detecting graft rupture sites after abdominal aortic aneurysm repair.
Non-anastomotic graft rupture is a rare but critical complication after abdominal aortic aneurysm (AAA) repair. Therefore, identifying the rupture sites is important to perform endovascular stent grafting. A 78-year old man who had undergone Y-grafting for infrarenal AAA before 17 years was referred to our hospital with the complaints of abdominal pain. Computed tomography revealed acute pancreatitis and an enlargement around the grafted abdominal aorta. Contrast-enhanced ultrasonography revealed an extravazation from the graft body 1.5 cm distal to the proximal anastomosis, and endovascular stent grafting was successfully performed. Contrast-enhanced ultrasonography might be useful in detecting the graft rupture.
['Nakanishi|Koji|K|', 'Watanabe|Ryoji|R|', 'Shimizu|Shuji|S|', 'Nakai|Mikizo|M|']
D000368:Aged D017544:Aortic Aneurysm, Abdominal D001019:Aortic Rupture D001027:Aortography D001807:Blood Vessel Prosthesis D019917:Blood Vessel Prosthesis Implantation D003287:Contrast Media D057510:Endovascular Procedures D005290:Ferric Compounds D006801:Humans D007501:Iron D008297:Male D010087:Oxides D011237:Predictive Value of Tests D011475:Prosthesis Failure D012086:Reoperation D014057:Tomography, X-Ray Computed D016896:Treatment Outcome D018608:Ultrasonography, Doppler
Contrast-enhanced ultrasonography Graft rupture Abdominal Aortic aneurysm Endovascular procedures