Endografts are a common method of treating abdominal aortic aneurysms (AAA) because of the short-term benefits of endovascular aneurysm repair (EVAR). However, the short-term benefits of endovascular repair must be balanced against long-term complications, such as the need for conversion to open repair, device migration, persistent or de novo endoleaks, and most concerning the potential for subsequent rupture of the aneurysm. Lifelong postimplantation surveillance is mandatory because the incidence of some complications increases over time. This report describes our recent experience in a patient in whom complete endograft collapse was discovered 9½ years following EVAR necessitating conversion to open repair.
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