title: [The endovascular repair of ruptured aortic aneurysm].
abstract: OBJECTIVE
  To discuss the safety, feasibility, efficacy and problem of endovascular repair (EVR) for ruptured aortic aneurysm (RAA).
  
  
  METHODS
  Fourteen patients with RAA were obtained diagnosis and anatomic data of proximal and distal neck through magnetic resonance imaging and CT. The patients with hypotension were accepted anti-shock treatment. Stent-grafts were deployed in proper position of RAA under X-ray fluoroscopic.
  
  
  RESULTS
  The time from rupture to operation was 50 min to 21 d. Three cases had plenty of blood in left pleural cavity and 2 cases were done under bleeding shock condition. Five cases with RAA were fixed by bifurcated stent-grafts and others by straight stent-grafts. Follow-up term was 1 month to 38 months. One with ruptured thoracic aortic aneurysm died 4 h later after operation, another one died of left thoracic cavity infection 9 months later, and others lived well without complication.
  
  
  CONCLUSIONS
  The EVR is a safe, efficient and feasible method. It will be a potential alternative to treat RAA in future, but more suitable for RAA with better proximal and distal landing zones.
authors.affiliation: Department of Vascular Surgery, the General Hospital of People's Liberation Army, Beijing 100853, China. pla301dml@vip.sina.com
authors.forename: Wei
authors.initials: W
authors.lastname: Guo
authors.forename: Lu-yue
authors.initials: LY
authors.lastname: Gai
authors.forename: Xiao-ping
authors.initials: XP
authors.lastname: Liu
authors.forename: Guo-hua
authors.initials: GH
authors.lastname: Zhang
authors.forename: Fa-qi
authors.initials: FQ
authors.lastname: Liang
authors.forename: Rong
authors.initials: R
authors.lastname: Li
mesh_terms: D000328:Adult; D000368:Aged; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome