Endovascular Repair for a Ruptured AAA due to a Combined Type IIIb and Ia Endoleak

Figure 1

Preoperative CT scan. Contrast media had to be avoided due to severe renal failure. The Talent stent-graft was migrated and the proximal sealing was lost ((a)–(c)) leading to potential type I endoleak, sac enlargement, and rupture. A leaking 9 cm AAA with a huge retroperitoneal hematoma was depicted ((d) and (e)). Distal iliac sealing was sufficient (f).

(a)

(b)

(c)

(d)

(e)

(f)