Key result
Endovascular iliac stent grafting rescues an 83-year-old man in shock with a ruptured para-anastomotic aneurysm.
Why the study?
Does endovascular stent placement improve survival in an elderly patient with a ruptured para-anastomotic iliac aneurysm and acute shock?
Case Report (n=1)
Does endovascular stent placement improve survival in an elderly patient with a ruptured para-anastomotic iliac aneurysm and acute shock?
Answers are grounded in this paper and cite their sources.
Endovascular stent placement can be a safe and effective treatment for ruptured iliac aneurysmal arteries in selected high-risk patients presenting in acute shock.
In this case report, we present an 83-year-old man with a ruptured para-anastomotic aneurysm who underwent a stent graft in spite of his condition of acute shock. Our patient presented at the emergency room (ER) with acute abdominal pain. Shortly after arrival, he collapsed because of a ruptured para-anastomotic aneurysm after the previous aorto-bi-iliac aneurysm repair in 1984. He was charged with a cardiac history that made him unsuitable for surgery. We chose for resuscitation followed by inflation of an aortic balloon that made the patient hemodynamically stable. He then underwent iliac stent grafting and was discharged from the hospital at 22 days after the procedure. The mortality rate of patients with a ruptured para-anastomotic aortic aneurysm arriving at hospital ranges from 32% to 70%. Endovascular stent placement for ruptured iliac aneurysmal arteries can be a safe treatment in selected patients.
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Menke et al. (2010) conducted a case report in Ruptured para-anastomotic iliac aneurysm (n=1). Iliac stent grafting was evaluated. Endovascular iliac stent grafting was successfully performed in an 83-year-old man with a ruptured para-anastomotic aneurysm in acute shock, leading to hospital discharge at 22 days.
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