Emergent Repair of a Ruptured Abdominal Aortic Aneurysm Using an AneuRx Stent-Graft

Abstract

Purpose:

To report a case of ruptured abdominal aortic aneurysm (AAA) treated with a commercially available endoluminal graft.

Case Report:

Ruptured AAA was diagnosed in a 58-year-old man with lower abdominal pain, hypotension, and syncope. A contrast-enhanced computed tomographic (CT) scan confirmed the presence of a 7-cm ruptured infrarenal AAA associated with a large retroperitoneal hematoma. The aneurysm was successfully excluded with a bifurcated AneuRx stent-graft placed through a femoral approach in an emergent procedure. The patient was discharged on the third postoperative day. CT scans at 1 and 10 months demonstrated complete resolution of the retroperitoneal hematoma and continued exclusion of the aneurysm.

Conclusions:

The AneuRx stent-graft can be successfully applied for the treatment of a ruptured AAA in emergency situations.

Keywords

endovascular grafting retroperitoneal hematoma bifurcated stent-graft

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