Leaking thoraco-abdominal aortic aneurysm presenting with a massive left haemothorax: a clinical trap

A case is described in which a patient, who had had an aortic aneurysm repair 10 years previously, presented with a thoraco-abdominal aortic aneurysm which ruptured immediately above the previous graft. The implications for the management of patients with an abdominal aortic aneurysm repair are discussed.