Early rupture of a partially treated abdominal aortic aneurysm: another endovascular lesson.
OBJECTIVE
To report early rupture of a partially treated abdominal aortic aneurysm.


METHODS
A 76-year-old man with a 6.4-cm abdominal aortic aneurysm had the main body of a bifurcated graft inserted into the aneurysm. However, it was not possible to cannulate the short cuff of the graft to deploy the contralateral limb, probably due to a proximal aortic stenosis compressing the stent-graft. The plan was for the patient to return on another date for a further attempt at recannulation; however, shortly after the patient was discharged, the aneurysm ruptured, necessitating conventional open repair, which the patient survived.


CONCLUSIONS
Every effort should be made to complete endovascular treatment of abdominal aortic aneurysms at a single session.
Walker
Stuart
S
Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, England, UK. stuart.walker1@virgin.net
Papavassiliou
Vassilios
V
Fishwick
Guy
G
Bell
Peter R F
PR
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed