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A 70-year-old man with a ruptured aneurysm located at the right middle cerebral artery underwent neck clipping three days after the onset of a subarachnoid hemorrhage. Four days later, the patient suddenly went into a shock state due to intra-abdominal bleeding. Angiography showed a ruptured hepatic artery aneurysm that was embolized using the coil-through endovascular technique. The subsequent postoperative course was uneventful. The present case suggests that an incidental visceral artery aneurysm may rupture during therapy for cerebral vasospasm following a subarachnoid hemorrhage.

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Bare stent infection is an extremely rare complication of endovascular treatment. In such cases, surgical resection of the infected bare stent and revascularization are recommended; however, the revascularization strategy remains controversial. We present a case of a 78-year-old man with an infected aneurysm caused by a bare iliac artery stent infection. We resected the infected aneurysm and performed in situ anatomic reconstruction using a rifampicin-soaked prosthesis with omental coverage. The patient had no reinfection at the 3-year follow-up. Therefore, this procedure may be a useful treatment for bare iliac artery stent infections.

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