[Ruptured abdominal aortal aneurysm in spite of endovascular aneurysm repair].
An 84-year-old man with an abdominal aortal aneurysm (AAA) was treated with endovascular aneurysm repair (EVAR). Four years later, the aneurysm ruptured and an emergency operation was performed. On a short-term basis, EVAR has been proven to be a low-risk treatment compared to open surgery. However, the EUROSTAR registry shows above 1% annual AAA-related deaths after EVAR due to late rupture or reintervention. Newer devices reduce the risk by approximately 50%, but this seems insufficient. Thus EVAR is still not a standardised option, but it may be appropriate in cases of rupture and cases that are not suited to open surgery.
Larsen
Ulla Lei
UL
Viborg Sygehus, Karkirurgisk Afsnit, Forskningssektionen. larsen_ulla@hotmail.com
Lindholt
Jes S
JS
D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D004630:Emergencies; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D015607:Stents