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Early rupture of a partially treated abdominal aortic aneurysm: another endovascular lesson
Stuart Walker1, Vassilios Papavassiliou, Guy Fishwick
1Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, England, UK. stuart.walker1@virgin.net
Purpose:
To report early rupture of a partially treated abdominal aortic aneurysm.
Case Report:
A 76-year-old man with a 6.4-cm abdominal aortic aneurysm had the main body of a bifurcated graft inserted into the aneurysm. However, it was not possible to cannulate the short cuff of the graft to deploy the contralateral limb, probably due to a proximal aortic stenosis compressing the stent-graft. The plan was for the patient to return on another date for a further attempt at recannulation; however, shortly after the patient was discharged, the aneurysm ruptured, necessitating conventional open repair, which the patient survived.
Conclusions:
Every effort should be made to complete endovascular treatment of abdominal aortic aneurysms at a single session.