Key result
Open surgical repair successfully treats a re-ruptured 18-cm AAA caused by post-EVAR type IA endoleak.
Why the study?
Long-term outcomes of endovascular repair for ruptured abdominal aortic aneurysms are lacking, and few data have been published on the treatment of giant abdominal aortic aneurysms and ruptured abdominal aortic aneurysms.
Population
An 83 year old with re-rupture of an 18 cm giant abdominal aortic aneurysm after EVAR
Comparison
Open surgical repair
Design
Case report
Authors
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Supports dual open-endovascular proficiency for complex post-EVAR ruptures; leaves open generalizability from single case.
Case Report (n=1)
This case highlights the importance of vascular surgeons maintaining proficiency in both open and endovascular techniques for managing complex ruptured abdominal aortic aneurysms.
Meekel et al. (2019) conducted a case report in Ruptured giant abdominal aortic aneurysm (n=1). Open surgical repair was evaluated on Post-operative course. Open surgical repair was successfully performed without complications in an 83-year-old man with a re-ruptured 18 cm giant abdominal aortic aneurysm caused by a type IA endoleak after previous EVAR.
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