Hypogastric artery aneurysm rupture after endovascular graft exclusion with shrinkage of the aneurysm: Significance of endotension from a "virtual," or thrombosed type II endoleak

Maseer A. Bade, Takao Ohki, Jacob Cynamon, Frank J. Veith

Research output: Contribution to journalArticle

39 Scopus citations


Type II endoleaks, resulting from retrograde branch flow, after endovascular graft aneurysm exclusion are considered benign because they usually thrombose and are commonly associated with stable or shrinking aneurysm sacs. We report a hypogastric artery aneurysm rupture from endotension from an undetected, thrombosed Type II endoleak, associated with sac shrinkage. The patient had undergone an endovascular graft repair of a 4-cm right common iliac artery and 9-cm hypogastric artery aneurysm with distal hypogastric artery coil embolization. Serial computed tomography scans revealed no endoleak and a hypogastric aneurysm thrombosis with shrinkage. Eighteen months later, the aneurysm ruptured as a result of pressurization from backbleeding, patent branches.

Original languageEnglish (US)
Pages (from-to)1271-1274
Number of pages4
JournalJournal of Vascular Surgery
Issue number6
StatePublished - Jun 2001


ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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