Renewed endovascular repair for recurrent acute abdominal aortic aneurysm

Abstract

The aim of the study was to describe the successful endovascular management of a patient who was admitted urgently with a second episode of acute abdominal aortic aneurysm (AAA) 30 months after emergency endovascular abdominal aortic aneurysm repair (eEVAR) for a ruptured AAA. The patient, an 84 year-old male physician, presented with severe acute abdominal and back pain. Contrast-enhanced computer tomography scanning showed type III endoleak owing to complete disconnection of both graft limbs and the prosthetic main body. Treatment consisted of acute stent-grafting with two bridging stent-grafts to seal the endoleak and reline the graft. The patient is alive and well 6 months postoperatively. This case indicates the need for follow-up after eEVAR, but also that complications can be managed endovascularly.

Mortality of ruptured abdominal aortic aneurysm treated with open or endovascular repair

“…This was immediately treated by endovascular means with bridging stent grafts. 17 Three open-treated patients underwent four reinterventions. The first patient had two procedures, one at 5 months to re-establish bowel continuity and another at 24 months to correct an incisional hernia.…”