title: Rescue EVAR for ruptured AAA: Clinical success does not mean technical success.
abstract: We report a clinical evolution of a 85-years old male admitted to our Emergency Department for ruptured abdominal aortic aneurysm (rAAA). One month later a huge type I proximal endoleak was detected and corrected by proximal aortic extension. We decided to fix the stent-graft to the aortic wall using EndoAnchors. However, an asymptomatic type III endoleak due to controlateral limb disconnection was detected at the followed schedulated CT angio and corrected by a relining of the endograft. The patient is now in good clinical condition with no evidence of endoleaks at 1-year follow-up.
authors.affiliation: Department of Surgery, Vascular and Endovascular Surgery unit, University of Siena, Siena, Italy setacci@unisi.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Setacci
authors.affiliation: Department of Surgery, Vascular and Endovascular Surgery unit, University of Siena, Siena, Italy.
authors.forename: Pasqualino
authors.initials: P
authors.lastname: Sirignano
authors.affiliation: Department of Surgery, Vascular and Endovascular Surgery unit, University of Siena, Siena, Italy.
authors.forename: Gianmarco
authors.initials: G
authors.lastname: de Donato
authors.affiliation: Department of Surgery, Vascular and Endovascular Surgery unit, University of Siena, Siena, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Galzerano
authors.affiliation: Department of Surgery, Vascular and Endovascular Surgery unit, University of Siena, Siena, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Setacci
mesh_terms: D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D057867:Endoleak / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed
keywords: Ruptured abdominal aortic aneurysm; emergent EVAR