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

• 作者: Fred Fiesseler Maria Basile Richard D. Shih
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: ABDOMINAL AORTIC ANEURYSM ANEURYSM ENDOVASCULAR ANEURYSM Repair
• 年，卷（期）: 2013,（2）
• 页码范围: 135-137
• 页数: 3页
• 分类号: R6

摘要

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).