title: Endovascular treatment of a chronic contained ruptured abdominal aortic aneurysm.
abstract: We report a 69-year-old Caucasian male who presented with irreversible ischemia to the left foot. CT-scan showed, besides occlusion of both superficial femoral arteries, a chronic contained rupture of an abdominal aortic aneurysm. The aneurysm was excluded with a stent graft placed through a femoral approach in a semi-urgent procedure. CT-scans at 1, 3 and 6 months demonstrated continued exclusion of the aneurysm. Chronic ruptures are a rare but important subset of ruptured abdominal aortic aneurysms. CT-scan with contrast enhancement is the gold standard diagnosing technique. Treatment consists of prompt surgical intervention with endovascular repair being increasingly used as an alternative to an open surgical approach.
authors.affiliation: Department of Thoracovascular Surgery, General Hospital, AZ. St. Maarten, Duffel.
authors.forename: W J
authors.initials: WJ
authors.lastname: Metsemakers
authors.forename: J
authors.initials: J
authors.lastname: Duchateau
authors.forename: F
authors.initials: F
authors.lastname: Vanhoenacker
authors.forename: J
authors.initials: J
authors.lastname: De Leersnyder
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D017544:Aortic Aneurysm, Abdominal; D001019:Aortic Rupture; D001157:Arterial Occlusive Diseases; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002908:Chronic Disease; D057510:Endovascular Procedures; D006801:Humans; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male