Two Cases of EVAR for Hemodynamic Stable Patients of Fitzgerald Classification Grade 4 of Ruptured Iliac Artery Aneurysm and Abdominal Aortic Aneurysm

Abstract

EVAR is the first-line treatment for patients with ruptured abdominal aortic aneurysm (rAAA) or iliac artery aneurysm (rIAA) in our hospital. We performed the procedures in 12 patients. Our report describes two hemodynamic stable patients with Fitzgerald classification grade 4 performed with EVAR. Case 1: An 85-year-old unconscious man was admitted to our hospital. We diagnosed him with Fitzgerald grade 4 saccular rIAA. We performed EVAR under local anesthesia with heparin. Although antibiotics were administered to treat pneumonia, the patient was discharged on the 58th day postoperatively. Case 2: A 69-year-old unconscious man was admitted to our hospital. We diagnosed the patient with Fitzgerald grade 4 saccular rAAA. We performed EVAR under general anesthesia and with heparin. The patient was discharged on day 11 postoperatively. No aneurysm-related complications were observed in case 1 or 2, for 3 and 2 years, respectively. EVAR is one of the useful options for hemodynamic stable patients with Fitzgerald grade 4 rIAA and rAAA.