Journal List > J Korean Surg Soc > v.77(6) > 1011047

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Kim, Park, Jeon, Cho, and Hong: Successful Endovascular Aneurysm Repair for a Ruptured Abdominal Aortic Aneurysm
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 77(6): 429-433.

Published online: 4 December 2009

DOI: https://doi.org/10.4174/jkss.2009.77.6.429

Successful Endovascular Aneurysm Repair for a Ruptured Abdominal Aortic Aneurysm

Jang Yong Kim, M.D., Keun Myoung Park, M.D., Yong Sun Jeon, M.D.1, Soon Gu Cho, M.D.1, Kee-Chun Hong, M.D.

Division of Vascular Surgery, Department of Surgery, Inha University School of Medicine, Incheon, Korea.

1Division of Interventional Radiology, Department of Radiology, Inha University School of Medicine, Incheon, Korea.

Corresponding author (keechong@chol.com)

Received 24 April 2009       Accepted 13 May 2009

Copyright © 2009 The Korean Surgical Society

Abstract

Endovascular aneurysm repairs for a ruptured AAA (EVAR for r-AAA) have been reported with limited results although endovascular aneurysm repairs for elective AAA (EVAR for e-AAA) have shown good early and late results. In this case report, the authors described successful EVAR for r-AAA. A 93-year-old female underwent emergent EVAR for r-AAA. An aortic occlusion balloon was inserted before general anesthesia for hemodynamic stability. Zenith endograft was deployed under general anesthesia. Completion angiography showed no endoleak but there was coverage of the right renal artery. She was discharged 2 weeks after overcoming transient acute renal insufficiency. We concluded that EVAR for r-AAA can be an alternative option for the treatment of ruptured AAA.

Keywords: Abdominal aortic aneurysm, Rupture, Endovascular treatment, Stent, Stent graft

Figures and Tables

Fig. 1
CT images from the referral center showed retroperitoneal rupture from abdominal aortic aneurysm (AAA) (A), AAA of 65×59 mm in diameter (B) and aortic neck of 21 mm in diameter (C).
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Fig. 2
Before general anesthesia, aortic occlusion balloon (Coda Balloon) was inserted by femoral approach.
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Fig. 3
Occluded limbs of stent graft were thrombectomized using thrombectomy over wire catheter.
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Fig. 4
Completion angiography showed coverage of right renal artery, and no endoleak.
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Fig. 5
Following CT after EVAR showed no endoleak, reduced retroperitoneal hematomaand patent endograft (A, B). But, renal infarction with partial renal arterial flow in right kidney was observed (C).
jkss-77-429-g005

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