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
1 Department of Vascular Surgery, Red Cross Hospital, Athens, Greece
2 2nd Department of Cardiology, Red Cross Hospital, Athens, Greece

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© Maras et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Vascular Surgery, Red Cross Hospital, Athens, Greece; Tel: +30 - 210 - 641 4739; Fax: +30 - 210 - 3215 792; E-mail:
# Presented as an Oral Presentation at the Multidisciplinary European Endovascular Therapy (MEET) 2009 Congress, Cannes, France, June 18-21, 2009 (Oral Sessions, Saturday June 20, 16:30-19:30)


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.

Keywords: Endovascular procedures, high-risk patients, ruptured aneurysm repair, EVAR..