# Late Open Abdominal Aneurysm Reconstruction and Graft Salvage in a Patient With Persistent Endoleak Type II Following Endovascular Aneurysm Repair

## TL;DR

This paper discusses a case where open surgery was needed to fix a persistent leak in a blood vessel graft after a minimally invasive procedure.

## Contribution

The paper presents a successful case of late open conversion repair for a persistent Type II endoleak following EVAR.

## Key findings

- Conservative management failed to resolve the Type II endoleak, leading to aneurysm sac growth.
- Open reconstruction successfully salvaged the graft and improved patient outcomes.
- Combining endovascular and open techniques is crucial for managing complex endoleaks.

## Abstract

This study highlights a case of late open conversion repair (OCR) for persistent Type II endoleak after endovascular aneurysm repair (EVAR), presenting a 78-year-old male with a history of EVAR for an infrarenal abdominal aortic aneurysm. Despite conservative management of the initial endoleak, the aneurysm sac's progressive growth necessitated open reconstruction to salvage the graft. Successful postoperative outcomes emphasize the critical need for meticulous intervention strategies and surveillance in managing persistent Type II endoleaks. This case underlines the importance of a tailored approach, leveraging both endovascular and open surgical techniques, to optimize long-term outcomes and prevent aneurysm rupture in complex cases.