Successful emergency stenting of acute ruptured false iliac aneurysm

Cardiovascular and Interventional Radiology
Edwin BierdragerJaap F Hamming

Abstract

A 75-year-old man complaining of acute abdominal pain, 1 month after elective surgical repair of an abdominal aortic aneurysm by an aortabi-iliac bypass graft, was referred and admitted to the emergency room. Imaging by sonography and computed tomography scan revealed a ruptured iliac pseudoaneurysm at the right iliac anastomotic site with associated large retroperitoneal hematoma. We inserted a self-expanding covered Z-stent graft by a transfemoral approach and the iliac anastomotic pseudoaneurysm was successfully excluded. Our case demonstrates the possibilities of an endovascular approach for providing a fast, efficient and less aggravating procedure in order to treat these life-threatening conditions.

Citations

Oct 10, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Michael GawendaJan Brunkwall
May 1, 2008·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Wan-Yi HuangWen-Fang Cheng
May 6, 2008·Journal of Vascular Surgery·Adeyiza O MomohPeter H Lin

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