Endofuga tipo IB, complicación tardia de prótesis endovascula

Objective: to describe endoleaks as a late complication of endovascular prosthetic repair (EVAR) of abdominal aorta aneurysm (AAA), through a case report presented at Hospital Universitario del Quindio San Juan de Dios Colombia. Study Design: case report. Case presentation: a 77-year-old man with past medical history of undergoing an EVAR of the left and right common iliac arteries for infra-renal AAA. Seven years later he was admitted to the emergency department with a sudden episode of hypotension, diaphoresis and abdominal pain. He underwent an emergency surgical intervention evidencing an AAA sac rupture secondary to a type IB peri-prosthetic endoleak. Conclusion: EVAR, a very important procedure for the management of AAA has the disadvantage of post-procedural complications due to failure to completely exclude blood flow perfusing the aneurysm sac, requiring a re-intervention in 30% and the need for open surgery in 5% associated with increased mortality rates.