Nonvisualized type III endoleak masquerading as endotension: A case report

Akihiro Yoshitake, Takashi Hachiya, Takahito Itoh, Hiroto Kitahara, Mio Kasai, Shinji Kawaguchi, Hideyuki Shimizu

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Here, we describe a case of nonvisualized type III endoleak masquerading as endotension that was diagnosed by opening the aneurysm sac during surgery and successfully treated surgically. A 79-year-old man underwent endovascular aneurysm repair (EVAR) 4 years previously for an aneurysm that had enlarged gradually without endoleak. An open surgical operation was performed. The sac pressure was 132 mm Hg - similar to the preoperative systolic blood pressure - and nonpulsatile. After the aneurysm sac was opened without clamping the aorta, a type III endoleak from the suture point of the prosthetic endograft was detected. The prosthetic graft was successfully replaced with a Y-graft. The current findings suggest that nonvisualized type III endoleaks may be a potential cause of endotension.

Original languageEnglish
Pages (from-to)595.e15-595.e17
JournalAnnals of Vascular Surgery
Issue number3
Publication statusPublished - 2015 Apr 1

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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