Endovascular treatment of a ruptured para-anastomotic aneurysm of the abdominal aorta

Cardiovasc Intervent Radiol. 2008 Jul:31 Suppl 2:S79-83. doi: 10.1007/s00270-007-9206-3. Epub 2008 Jan 23.

Abstract

We report a case of a ruptured para-anastomotic aortic aneurysm treated with implantation of a bifurcated stent-graft. A 72-year-old patient, who had undergone aortobifemoral bypass for aortoiliac occlusive disease 16 years ago, presented with a ruptured para-anastomotic aortic aneurysm. A bifurcated stent-graft was successfully deployed into the old bifurcated graft. This is the first report of a bifurcated stent-graft being placed through an "end-to-side" anastomosed old aortobifemoral graft. Endovascular treatment of ruptured para-anastomotic aortic aneurysms can be accomplished successfully, avoiding open surgery which is associated with increased mortality and morbidity.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anastomosis, Surgical / adverse effects
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / therapy*
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / therapy*
  • Aortography
  • Blood Vessel Prosthesis Implantation / methods*
  • Fatal Outcome
  • Humans
  • Male
  • Tomography, X-Ray Computed