My Patient’s Aorta Was Repaired. What Complications Arise from AAA Repair? When Should I Be Concerned About Recurrence?

  • Anne WalkerEmail author
  • Sara Manning


As the number of patients undergoing abdominal aortic aneurysm (AAA) repair increases, it has become increasingly important for acute care providers to understand the complications associated with these procedures. Both open and endovascular aortic repair (EVAR) techniques are widely used. Patients with history of open AAA repair may present with ischemic colitis, aortoenteric fistula, or graft infection. Patients who have undergone EVAR may present with ischemia or endoleak. Rupture is a known complication of EVAR and requires routine imaging surveillance. Computed tomography (CT) angiography or CT with triple-phase contrast helps evaluate for many AAA repair complications. Vascular surgery consultation, often early, is generally indicated when complications are suspected or discovered.


AAA repair EVAR Aortoenteric fistula Graft infection Ischemia Endoleak 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of Maryland Medical CenterBaltimoreUSA
  2. 2.Department of Emergency MedicineUniversity of Maryland School of MedicineBaltimoreUSA

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