Concomitant Late Type II Endoleak with Recanalised Internal Iliac Artery and Type III Endoleak after Endovascular Aneurysm Repair of Aortoiliac Aneurysm

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WSW Chan, WL Poon, DHY Cho, SH Luk

Hong Kong J Radiol 2009;12:27-30

An 86-year-old patient with infrarenal abdominal aortic aneurysm and right common iliac artery aneurysm was treated with endovascular aneurysm repair with an endograft after internal iliac artery embolisation with coils, followed by cross-femoral bypass surgery. Three years later, a type II endoleak, due to recanalisation of the internal iliac artery, leading to an enlarging common iliac artery aneurysm and a concomitant type III endoleak in the aortic aneurysm sac were identified. This report describes the management of the condition.