Demonstrates the feasibility and success of endovascular stent-graft repair for a giant (11 cm) ruptured abdominal aortic aneurysm in a community hospital setting.
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Hypothesis-generating for endovascular repair of giant ruptured AAA in community hospitals; larger studies needed to assess generalizability.
Rupture of an abdominal aortic aneurysm (AAA) can be a catastrophic event for a patient, with many patients who rupture dying before they ever make it to the hospital for assessment. Once assessed and treated, patients are by no means out of the woods, as the overall mortality for patients undergoing repair of AAA is still quite high post-intervention. Here we present an interesting case of a 62 year old African-American male who presented to our community hospital with a ruptured AAA measuring 11 cm at its maximum diameter. This is one of the largest ruptured AAA’s to ever be reported in the literature. We treated this patient with endovascular placement of stent-grafts, making this one of the largest ever endovascular repairs undertaken. This patient made an optimal recovery post-intervention and is alive and well today.
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West et al. (2013) studied this question.
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