Thursday, December 11, 2014

Leaky Pipes

A 65 year old smoker undergoes a procedure to secure the pathology shown in panel A. After the procedure, the fluoroscopy shows the image in panel B. This requires a revision of the procedure, which is shown in panel C.

Challenge: What's the pathology shown in panel B?

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1 comment:

  1. CraigDecember 29, 2014 at 8:23 PM

    Leaky Pipes

    Panel A is an aortogram showing an infrarenal abdominal aortic aneurysm (with a severely angulated aortic neck). The procedure is an endovascular AAA repair with a graft. Panel B shows a Type I endoleak, defined as an incompetent seal at the proximal or distal attachment of an endovascular graft. They must be repaired as soon as discovered because the aneurysm sac remains exposed to systemic pressures which can lead to aneurysm growth and rupture.

    Source: UpToDate.

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