title: Endovascular treatment of a ruptured para-anastomotic aneurysm of the abdominal aorta.
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.
authors.affiliation: Department of Vascular Surgery, The Red Cross Hospital of Athens, Athens, Greece.
authors.forename: Giorgos S
authors.initials: GS
authors.lastname: Sfyroeras
authors.forename: Christos
authors.initials: C
authors.lastname: Lioupis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Bessias
authors.forename: Dimitris
authors.initials: D
authors.lastname: Maras
authors.forename: Maria
authors.initials: M
authors.lastname: Pomoni
authors.forename: Vassilios
authors.initials: V
authors.lastname: Andrikopoulos
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed