Open Access Combined Endovascular/Surgical Management of a Ruptured Para- Anastomotic Aneurysm of the Left Common Iliac Artery#

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 high-risk, 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