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- W1985637701 abstract "A 62-year-old woman with a history of congestive heart failure, chronic obstructive pulmonary disease and endovascular stenting for ascending arch and descending aortic aneurysm was admitted to the university emergency department (ED) with a 1 day history of increased dyspnea. On physical examination, she had bronchospasm diffusely in both lungs with rales in the lower segments. She was started on intravenous nitrates, and furosemide along with bronchodilators that relieved the symptoms. On an upright posteroanterior chest X-ray study, mediastinal enlargement with signs of congestive heart failure along with an endovascular stent starting from the root of the aorta down to the diaphragmatic portion of the aorta were noted (Fig. 1). In order to rule out possible expansion of the aortic aneurysm, a computed tomography (CT scan) of the thorax and the abdomen with intravenous contrast was performed. On the CT scan, an aneurysmal sac around the graft with leaking of the contrast medium at the distal end of stent was noted (Fig. 2). She was diagnosed with type 1 endoleak, and vascular surgery was consulted. They recommended out-patient treatment, and the patient was discharged home. Endovascular aortic repair (EVAR) was introduced in the early 1990s by Parodi et al., and it’s becoming a more regular treatment for aneurysms. Endoleaks are defined as blood flow external to the stent-graft and inside the aneurysm, and they occur in one-fourth of patients [1]. They usually do not cause symptoms as they are detected on routine checkups or accidentally discovered. Five types of endoleaks are defined, with each having a different treatment approach [2]. In type 1A endoleak, blood flow is seen in the proximal stent while in type 1B endoleak, it is seen from the distal stent. Distal site endoleaks do not have" @default.
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- W1985637701 date "2010-03-19" @default.
- W1985637701 modified "2023-09-27" @default.
- W1985637701 title "Endoleak accidentally discovered in congestive heart failure patient" @default.
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- W1985637701 doi "https://doi.org/10.1007/s11739-010-0370-0" @default.
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