2017 Volume 26 Issue 2 Pages 121-124
An 83-year-old male was treated with endovascular repair of an abdominal aortic aneurysm using Gore Excluder stent-graft. Eighteen months after the procedure, the patient was referred to our outpatient department due to gluteal and thigh pain for several days. Computed tomography revealed an enlargement of the abdominal aortic aneurysm without any endoleaks. A large hematoma was located left posteriorly on the aneurysm and the third lumbar vertebra was destructed. The patient was diagnosed with chronic contained aneurysm rupture because of stable hemodynamics and no evidence of anemia, and underwent delayed open surgical conversion. After a thrombus in the aneurysm sack was completely removed, aortic reconstruction was performed using a bifurcated prosthetic graft. The radicular pain was improved immediately after the operation.
