Laparoscopic lumbar artery ligation of type II endoleaks following endovascular aneurysm repair: A case report

Introduction:Although the clinical significance of type II endoleaks remain controversial, management strategies continue to expand. The laparoscopic approach is a minimally invasive method for persistent type II endoleak repair after endovascular aneurysm repair.Patient concerns:A 70 - year - old male patient with a history of endovascular aneurysm repair with left internal iliac artery embolization presented with persistent type II endoleak from the lumbar arteries 2 years ago. The aneurysm sac size had increased more than 10 mm during follow up period.Diagnosis:Persistent type II endoleak after endovascular aneurysm repair.Interventions:Transarterial embolization was attempted and failed. A minimally invasive laparoscopic lumbar artery ligation was then utilized.Outcomes:The patient was discharged without any complications after surgery. Follow-up computed tomography angiography has shown the complete disappearance of the type II endoleaks.Conclusions:Laparoscopic lumbar artery ligation may be a safe and effective alternative treatment for type II endoleaks, especially in high resource settings.