Abstract
We reported three cases of endovascular aneurysm repair (EVAR) for ruptured aortic aneurysm with severe complications preoperatively. Stent-grafts were successfully inserted in ruptured aneurysms under local anesthesia in all cases. EVAR can be a less invasive and safe treatment for ruptured aortic aneurysm with severe complications. Further examination make it possible to treat more patients with ruptured aortic aneurysm.