We report a clinical evolution of a 85-years old male admitted to our Emergency Department for ruptured abdominal aortic aneurysm (rAAA). One month later a huge type I proximal endoleak was detected and corrected by proximal aortic extension. We decided to fix the stent-graft to the aortic wall using EndoAnchors. However, an asymptomatic type III endoleak due to controlateral limb disconnection was detected at the followed schedulated CT angio and corrected by a relining of the endograft. The patient is now in good clinical condition with no evidence of endoleaks at 1-year follow-up.
MarinMLVeithFJCynamonJ. Initial experience with transluminally placed endovascular grafts for the treatment of complex vascular lesions. Ann Surg1995; 222: 449–465.
GrecoGEgorovaNAndersonPL. Outcomes of endovascular treatment of ruptured abdominal aortic aneurysms. J Vasc Surg2006; 43: 453–459.
4.
GreenbergRKSrivastavaSDOurielK. An endoluminal method of hemorrhage control and repair of ruptured abdominal aortic aneurysms. J Endovasc Ther2000; 7: 1–7.
5.
LachatMLPfammatterTWittzkeHJ. Endovascular repair with bifurcated stent-grafts under local anaesthesia to improve outcome of ruptured aortoiliac aneurysms. Eur J Vasc Endovasc Surg2002; 23: 528–536.
6.
HechelhammerLLachatMLWildermouthS. Midterm outcome of endovascular repair of ruptured abdominal aortic aneurysm. J Vasc Surg2005; 41: 752–757.
7.
MooreRNutleyMCinaCS. Improved survival after introduction of an endovascular therapy protocol for ruptured abdominal aortic aneurysms. J Vasc Surg2007; 45: 443–450.
8.
MehtaMPatyPSByrneJ. The impact of hemodynamic status on outcomes of endovascular abdominal aortic aneurysm repair for rupture. J Vasc Surg2013; 57: 1255–1260.
9.
GrisafiJLRahbarRNelmsJ. Challenging neck anatomy is associated with need for intraoperative endovascular adjuncts during endovascular aortic aneurysm repair (EVAR). Ann Vasc Surg2011; 25: 729–734.
10.
ChisciESetacciFIacoponiF. Surveillance imaging modality does not affect detection rate of asymptomatic secondary interventions following EVAR. Eur J Vasc Endovasc Surg2012; 43: 276–281.
11.
VeithFJLachatMMayerD. Collected world and single centerexperience with endovascular treatment of ruptured abdominal aorticaneurysms. Ann Surg2009; 250: 818–824.
12.
LachatMLPfammatterTWitzkeHJ. Endovascular repair with bifurcated stent-grafts under local anaesthesia to improve outcome of ruptured aortoiliac aneurysms. Eur J Vasc Endovasc Surg2002; 23: 528–538.
13.
VeithFJCayneNSBerlandTL. Current role for endovascular treatment of ruptured abdominal aortic aneurysms. Semin Vasc Surg2012; 25: 174–176.
14.
BerlandTLVeithFJCayneNS. Technique of supraceliac balloon control of the aorta during endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg2013; 57: 272–275.
15.
SetacciFSirignanoPde DonatoG. AAA with a challenging neck: early outcomes using the Endurant stent-graft system. Eur J Vasc Endovasc Surg2012; 44: 274–279.
