Combined Endovascular/Surgical Management of a Ruptured Para-Anastomotic Aneurysm of the Left Common Iliac Artery#
Dimitrios Maras1, *, Theofanis T Papas1, Christos D Gekas1, Chrisovalantis Psathas2, Ioannis Kotsikoris1, Achilleas Nikolaou1, Polyvios Pavlidis1, Vassilios Andrikopoulos1
Identifiers and Pagination:Year: 2009
First Page: 143
Last Page: 146
Publisher ID: TOCMJ-3-143
Article History:Received Date: 4/8/2009
Revision Received Date: 10/8/2009
Acceptance Date: 13/8/2009
Electronic publication date: 17/9/2009
Collection year: 2009
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
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.