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Combined Endovascular/Surgical Management of a Ruptured Para-Anastomotic Aneurysm of the Left Common Iliac Artery#
Theofanis T Papas1
Christos D Gekas1
Chrisovalantis Psathas2
Ioannis Kotsikoris1
Achilleas Nikolaou1
Polyvios Pavlidis1
Vassilios Andrikopoulos1
Authors Info & Affiliations
Abstract
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.
