Presentation
A large palpable abdominal mass on physical exam.
Patient Data
Fusiform aneurysmal dilatation of the infrarenal abdominal aorta is seen, which measures 90 × 93 mm (AP × LR) and extends over a distance of 125 mm. It begins about 2 cm distal of the renal arteries and terminates at the aortic bifurcation without extension into the iliac arteries. A smooth eccentric mural thrombus is noted within, measuring about 38 mm in maximum thickness. There is no surrounding fat stranding or contrast extravasation to suggest impending rupture.
The prostate gland is enlarged.
Degenerative changes, including osteophytosis, are seen in the lumbar spine.
The L5 vertebra is sacralized.
Post operation follow-up
Post-operative changes are seen due to endovascular repair of abdominal aortic aneurysm with Dacron graft. Periluminal thrombosis is seen with a maximum thickness of 25 mm. No sign of contrast media leakage is evident in the current study.
The prostate gland is enlarged.
Degenerative changes, including osteophytosis, are seen in the lumbar spine.
The L5 vertebra is sacralized.
Case Discussion
Endovascular aneurysm repair (EVAR) is performed in patients undergoing elective and emergency aneurysm repair. A stent graft is inserted into the aneurysmal portion of the aorta. The stent graft includes a graft for blood flow and a stent for anchoring and support. The goal is to redirect blood flow through the graft, bypassing the aneurysm.
Depending on the anatomy of the aneurysm and iliac vessels, not all aneurysms are suitable for EVAR, and pre-procedure evaluation is mandatory.
Unable to process the form. Check for errors and try again.