Endovascular repair of an abdominal aortic aneurysm (AAA) offers hope of improved outcomes in patients presenting with acute rupture. However, a high proportion of such patients have unfavorable proximal neck anatomy and are not suitable for treatment with conventional endografts. In this case report, the authors describe a successful endovascular repair of a ruptured AAA with very short and angulated proximal neck.
Cho JS, Kim JY, Rhee RY, Gupta NY, Marone LK, Dillavou ED, Makaroun MSJ.Contemporary results of open repair of ruptured abdominal aortoiliac aneurysms: Effect of surgeon volume on mortality. Vasc Surg . 2008;48:10-18.
Hinchliffe RJ , Bruijstens L., MacSweeney ST, Braithwaite BDA randomised trial of endovascular and open surgery for ruptured abdominal aortic aneurysm - Results of a pilot study and lessons learned for future studies. Eur J Vasc Endovasc Surg. 2006;32:506-513.