title: Combined endovascular/surgical management of a ruptured para-anastomotic aneurysm of the left common iliac artery.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Red Cross Hospital, Athens, Greece. d_maras@windowslive.com
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Maras
authors.forename: Theofanis T
authors.initials: TT
authors.lastname: Papas
authors.forename: Christos D
authors.initials: CD
authors.lastname: Gekas
authors.forename: Chrisovalantis
authors.initials: C
authors.lastname: Psathas
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kotsikoris
authors.forename: Achilleas
authors.initials: A
authors.lastname: Nikolaou
authors.forename: Polyvios
authors.initials: P
authors.lastname: Pavlidis
authors.forename: Vassilios
authors.initials: V
authors.lastname: Andrikopoulos