A Case Report on Endovascular Aortic Repair Rupture
Osceola Regional Medical Center
endovascular aneurysm repair, aaa, abdominal aortic aneurysm
Cardiovascular Diseases | Emergency Medicine
Endovascular repair of an abdominal aortic aneurysm (AAA) is a widely accepted alternative to open surgical AAA repair. A ruptured AAA is among the emergency surgeries with the highest risk of death, with an overall mortality rate close to 90%. However, the classic symptom triad for ruptured AAAs of hypotension, a pulsatile mass, and abdominal/back pain is seen in only in 25% to 50% of affected patients. Thus, many present with symptoms and signs that suggest a different diagnosis. Recognizing uncommon presentations and limitations of imaging and interpretation, in addition to clinical gestalt, can save many lives. This report discusses an unusual case involving a previously repaired AAA presenting with acute rupture at the endograft site.
Publisher or Conference
Rubero J, Stead T S, Ganti L (July 15, 2020) A Case Report on Endovascular Aortic Repair Rupture. Cureus 12(7): e9209. doi:10.7759/cureus.9209