A Rare Complication of EVAR: Migration of the Endograft into the Duedonum
Özet
1.32.29. A Rare Complication of EVAR: Migration of the Endograft into the Duedonum
Hakan Usta 1
, Furkan Çelik 1
, Eyüp Serhat Çalık 1
, Ümit Arslan 1 and Rıfat Peksöz 2
1 Department of Cardiovascular Surgery, Atatürk University Faculty of Medicine,
Erzurum, Türkiye
2 Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum,
Türkiye
BACKGROUND: EVAR is a treatment method that is increasing in popularity because
it is easily applicable, shortens hospital stays and is a good alternative for patients who
cannot tolerate surgery. Although the early results of EVAR are better compared to open
surgery, complications such as endoleak, migration, thrombosis/twisting of endograft legs
and graft infection may occur.
Case Presentation: A 73 year old male patient was admitted to our hospital with
complaints of general deterioration, melena, and fever. The patient had a history of
coronary stenting and EVAR. Patient’s laboratory findings were WBC: 17,100, Hgb: 9.5, Crp:
261. CT imaging showed that stents of the EVAR graft were broken and came out of the
vessel. It was seen that the EVAR graft had migrated and fistulized to the duodenum. The
patient was operated with the simultaneous participation of cardiovascular surgery and
general surgery clinics. Rupture in the sigmoid colon and contamination in the abdomen
Med. Sci. Forum 2025, 31, 1 141 of 249
were observed. The aorta was released and a cross clamp was placed below the renal artery
level. After the aortotomy the proximal part of the endograft and its left leg were removed.
The duodenum was opened and the right leg of the graft was removed. There was no need
for Whipple prodecure. The endograft was filled with thrombus. Since there was no distal
ischemia before surgery, the aorta was ligated at the infrarenal level. At the same time, the
sigmoid colon and rectum were excised and a colostomy was performed. The operation
was terminated and the patient was taken to intensive care. The patient developed sepsis
and died at the 8th hour postoperatively.
Keywords: Endograft migration; graft-enteric fistula; endograft infection
Sürdürülebilir Kalkınma Amaçları
-
SKA 3: Sağlıklı Bireyler
Atıf için künye
Usta, H., Çelik, F., Çalık, E., Arslan, Ü., & Peksöz, R. (2024). A Rare Complication of EVAR: Migration of the Endograft into the Duedonum. 72nd Congress of the ESCVS, the European Society of CardioVascular and Endovascular Surgery, İstanbul (ss. 1–249).
BibTeX
@inproceedings{usta2024-240794,
author = {Usta, Hakan and Çelik, Furkan and Çalık, Eyüpserhat and Arslan, Ümit and Peksöz, Rıfat},
title = {A Rare Complication of EVAR: Migration of the Endograft into the Duedonum},
booktitle = {72nd Congress of the ESCVS, the European Society of CardioVascular and Endovascular Surgery},
address = {İstanbul},
year = {2024},
pages = {1--249},
url = {https://akademik.atauni.edu.tr/yayinlar/240794-a-rare-complication-of-evar-migration-of-the-endograft-into-the-duedonum}
}