Abstract
A 65-year-old man presented, complaining of severe left lower back pain. Computed tomography (CT) showed an infrarenal abdominal aortic aneurysm of 7.6 cm in maximum dimension, with acute abdominal aortic dissection which had ruptured in to the retroperitoneal space. Emergency surgery was performed and a massive hematoma was found in the retroperitoneal space. The point of rupture was on the proximal left lateral side of the aneurysm, where found an entry site. The proximal extent of the dissection was located near the portion of the transection and the dissection extended to the left common iliac artery. There was no evidence of a thrombus in the aneurysm. We anastomosed a Y-shaped graft to the dissected neck of the infrarenal aorta, incorporating a felt strip to reinforce the true and friable false luminae onto the graft. In both legs, we anastomosed the bilateral common femoral arteries. The patient’s postoperative course was uneventful and he was discharged 21 days post operatively.
