Abstract
A 65-year-old man who had received graft replacement for abdominal aortic aneurysm 6 years previously was transferred to our hospital because of severe abdominal pain. A computed tomography scan revealed para-anastomotic false aneurysm rupture and an emergency operation was performed. Under a midline laparotomy incision, we applied supraceliac clamping of the aorta through the lesser omentum and performed reconstruction with tube graft interposition between the aorta immediately below the renal arteries and the distal portion of the old graft. He recovered and was discharged 26 days after surgery. Non-infected para-anastomotic false aneurysm is rare within 5 years after aortic graft replacement, and its incidence gradually increases with time. Moreover, it is clear that ruptured or seriously complicated cases increase the operative risk, and therefore, patients who have undergone abdominal aortic graft replacement require long-term imaging follow up for early detection and elective repair of possible false aneurysms.
