Abstract
We carried out endovascular stent graft implantation in a patient aged 89 years to sealed rupture of an infrarenal abdominal aortic aneurysm. He had received left ilio-femoral bypass, femoro-femoral cross over bypass and bilateral femoro-popliteal bypass due to ASO in 1989. The infrarenal abdominal aortic aneurysm accompanied with a large hematoma was 4cm in maximum diameter and reached 4cm above the bifurcation. There was extravasation into the retroperitoneal space at the proximal aortic neck. We made a stent graft from a Z stent (30mm, 7.5cm) and straight thin-walled (0.15mm) graft (24mm). It was introduced at just below the left renal artery through a 22 F delivery sheath by the femoral cut-down approach. Following this procedure he had no leaks and the abdominal aortic aneurysm was excluded by stent graft.
