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Successful use of emergent endovascular aneurysm repair for a ruptured hypotensive abdominal aortic aneurysm

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DOI: 10.4236/crcm.2013.22036    3,624 Downloads   4,911 Views  

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).

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Basile, M. , Fiesseler, F. and Shih, R. (2013) Successful use of emergent endovascular aneurysm repair for a ruptured hypotensive abdominal aortic aneurysm. Case Reports in Clinical Medicine, 2, 135-137. doi: 10.4236/crcm.2013.22036.

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