Combined endovascular/surgical management of a ruptured para-anastomotic aneurysm of the left common iliac artery.
A 75-year old man presented with signs and symptoms of acute abdomen and a clinical picture of hypovolemic shock. An emergency CT scan revealed a ruptured para-anastomotic left common iliac artery aneurysm. The patient had undergone an elective abdominal aortic aneurysm repair operation and placement of an aortoiliac bifurcated graft 10 years before. Para-anastomotic aneurysms had developed in all 3 (aortic and the 2 iliac) anastomosis. As the patient was highrisk, a combined endovascular/surgical approach was undertaken. The patient was discharged 4 days later.This article discusses the applicability of endovascular procedures in emergency settings to high-risk patients.
Maras
Dimitrios
D
Department of Vascular Surgery, Red Cross Hospital, Athens, Greece. d_maras@windowslive.com
Papas
Theofanis T
TT
Gekas
Christos D
CD
Psathas
Chrisovalantis
C
Kotsikoris
Ioannis
I
Nikolaou
Achilleas
A
Pavlidis
Polyvios
P
Andrikopoulos
Vassilios
V