Emergent repair of a ruptured abdominal aortic aneurysm using an AneuRx stent-graft.
OBJECTIVE
To report a case of ruptured abdominal aortic aneurysm (AAA) treated with a commercially available endoluminal graft.


METHODS
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.
Kumar
Vinay
V
Forrest General Hospital, Hattiesburg, Mississippi, US1A. jksaab@yahoo.com
Campbell
Joe H
JH
Andy
Orlando J
OJ
Hatten
Lewis E
LE
D017544:Aortic Aneurysm, Abdominal / Q000628:therapy*; D001019:Aortic Rupture / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D004630:Emergencies; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents