{
  "abstract": "Junctional component uncoupling of an AFX endograft is a rare but catastrophic cause of late type IIIA endoleak after endovascular aortic repair. A 74-year-old man presented with abdominal pain and shock 2 years and 8 months after endovascular aortic repair with AFX2, despite progressive sac regression on surveillance imaging. Computed tomography revealed aneurysm rupture due to a massive type IIIA endoleak with proximal component uncoupling. Emergency relining was performed; however, recurrent type III endoleaks required conversion to an aortouni-iliac configuration with femoral-femoral bypass. Retrospective imaging demonstrated progressive proximal intercomponent angle and reduced component overlap, suggesting longitudinal aortic remodeling as a mechanism of uncoupling.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiovascular Surgery, Sakurabashi Watanabe Advanced Healthcare Hospital, Osaka, Japan.",
    "Department of Cardiovascular Surgery, Nippon Life Hospital, Osaka, Japan."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hiroki Tada"
    },
    {
      "affs": [
        0
      ],
      "name": "Akira Marumoto"
    },
    {
      "affs": [
        1
      ],
      "name": "Yu Yamada"
    },
    {
      "affs": [
        1
      ],
      "name": "Takashi Shintani"
    },
    {
      "affs": [
        0
      ],
      "name": "Teruya Nakamura"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/749ym60hb668r.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jvscit.2026.102522",
  "fulltext_url": "https://europepmc.org/articles/PMC13694954",
  "id": "749ym60hb668r",
  "issns": [
    "2468-4287"
  ],
  "landing_url": "https://europepmc.org/article/MED/42926903",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2740|Aortic aneurysm repair treatments"
    ]
  ],
  "openalex": "W7213648742",
  "pdf_url": "https://europepmc.org/articles/PMC13694954?pdf=render",
  "pmcid": "PMC13694954",
  "pmid": "42926903",
  "published": "2026-09-19",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/749ym60hb668r.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:18Z",
      "native_id": "MED:42926903",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42926903"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Infectious Aortic and Vascular Conditions",
      "subfield": "surgery"
    }
  ],
  "title": "Multiple recurrence of type III endoleak due to junctional component uncoupling of the AFX2 endograft accompanied with continuous aneurysmal sac regression.",
  "title_text": "Multiple recurrence of type III endoleak due to junctional component uncoupling of the AFX2 endograft accompanied with continuous aneurysmal sac regression.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:18Z",
  "url": "https://research.draconitic.com/paper/749ym60hb668r",
  "venue": "Journal of vascular surgery cases and innovative techniques",
  "versions": []
}