Successful Endovascular Aneurysm Repair for a Ruptured Abdominal Aortic Aneurysm.
10.4174/jkss.2009.77.6.429
- Author:
Jang Yong KIM
1
;
Keun Myoung PARK
;
Yong Sun JEON
;
Soon Gu CHO
;
Kee Chun HONG
Author Information
1. Division of Vascular Surgery, Department of Surgery, Inha University School of Medicine, Incheon, Korea. keechong@chol.com
- Publication Type:Case Report
- Keywords:
Abdominal aortic aneurysm;
Rupture;
Endovascular treatment;
Stent;
Stent graft
- MeSH:
Acute Kidney Injury;
Anesthesia, General;
Aneurysm;
Angiography;
Aortic Aneurysm, Abdominal;
Endoleak;
Female;
Hemodynamics;
Humans;
Renal Artery;
Rupture;
Stents
- From:Journal of the Korean Surgical Society
2009;77(6):429-433
- CountryRepublic of Korea
- Language:Korean
-
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.
