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Vol 24, No 2 (2018)
Case report
Published online: 2018-07-04

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Early abdominal aortic rupture after Nellix endovascular aneurysm sealing

Jakub Palacz12, Wacław Kuczmik1, Andrzej Kucharski2, Zbigniew Kowalik2
Acta Angiologica 2018;24(2):51-53.


Abstract This case concerns a 73 year-old woman, that suffered form Symptomatic Aortic Abdominal Aneurysm. Due to the complex anatomy of the aneurysm she was treated with Nellix Endovascular Aneurysm Seal Device. The implantation was successful, and the completion angiography showed no endoleak. At day 9 after the procedure, the patient presented severe abdominal pain with peritoneal symptoms, significant anemia and hypovolemic shock. The patient was subject to emergency laparotomy. The aortic rupture was identified. The Nellix device was removed and replaced with bifurcated silver-covered PTFE graft.

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  1. Krievins DK, Holden A, Savlovskis J, et al. EVAR using the nellix sac-anchoring endoprosthesis: treatment of favourable and adverse anatomy. Journal of Vascular Surgery. 2011; 54(1): 282.
  2. Thompson MM, Heyligers JM, Hayes PD, et al. Endovascular aneurysm sealing: early and midterm results from the EVAS FORWARD Global Registry. Journal of Endovascular Therapy. 2016; 23(5): 685–692.