Abstract
A 62-year-old woman with a history of homograft replacement for infectious thoracoabdominal aortic aneurysm was admitted to our hospital for hypertension 4 months after the previous operation. On the night of admission, she suddenly complained of severe low back pain and a pulsatile mass was noticed in the lower left back. Enhanced computed tomography revealed a saccular type aneurysm, with a diameter of about 80 mm, what had ruptured into the left extra peritoneal space. Taking into consideration her poor preoperative status, emergency endovascular stent-grafting was performed. The postoperative course was uneventful. She was discharged 3 weeks after surgery and is now doing well as an outpatient.