Page 9 - Virtual Vascular Vol 20

A 62-year-old gentleman presented to us with central abdominal pain and CT scan showed a 5.5cm This highlights:
abdominal aortic aneurysm which was suitable with endovascular repair. A semi-urgent endovascu- - The importance of Plain-X-ray on follow up after EVAR

lar stent graft repair was performed and he was well and discharged. He had been followed up in - The importance of thorough discussion in offering EVAR to relatively “young” patient. Life-
our Clinic for 9 years with regular plain X-ray and Duplex scan assessment showing no endoleak. long surveillance is essential as problems associated with the stent graft may develop years after the
However, plain-X-ray in recent years showed gradual migration and dislodgement of the left iliac procedure.
limb as shown. Secondary intervention is mandatory.

In addition to the
dislodged left iliac limb,
the lateral view showed
a breakage of the bare
metal stent and obvious
distal migration of the
main body of the stent 9
graft