TITLE:
Successful use of emergent endovascular aneurysm repair for a ruptured hypotensive abdominal aortic aneurysm
AUTHORS:
Maria Basile, Fred Fiesseler, Richard D. Shih
KEYWORDS:
Abdominal Aortic Aneurysm; Aneurysm; Endovascular Aneurysm Repair
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.2 No.2,
May
24,
2013
ABSTRACT: Ruptured aortic aneurysm has a surgical mortality
ranging from 50%-70%, one of the highest rates of all vascular emergencies [1-5].
Less invasive approaches to repair have been developed that could
potentially improve these statistics [1,5-7]. Endovascular aneurysm repair (EVAR)
is a minimally invasive approach that may be an alternative to open surgical
repair for select cases of ruptured aortic aneurysms [1,5]. Unfortunately,
the role of EVAR in patients with acute rupture of an abdominal aneurysm is
not clear, especially for patients that are hemodynamically unstable [1,8-10].
The literature is limited regarding use of
EVAR in this population of patients. We present a case of the successful
use of EVAR for an emergent repair in a hypotensive hemodynamically unstable
patient with an acutely ruptured abdominal aortic aneurysm (AAA).