Abstract
In the case of surgical intervention for short-necked abdominal aortic aneurysms, operative procedures should be considered, taking into account the characteristics of those aneurysms. A 78-year-old male had presented with back pain and right thigh pain beginning three months prior. CT scan revealed a pseudoaneurysm of 90 mm in diameter located in the abdominal aorta below the right renal artery and expanded to the right and dorsal side, eroding lumber vertebras. He was diagnosed with chronic contained rupture due to his stable hemodynamics. As he had a history of laparotomy and there was no evidence of infection to the aneurysm, endovascular aneurysm repair (EVAR) was performed. We reconstructed the left renal artery using chimney technique and the right renal artery with branched and fenestrated endovascular aneurysm repair, because the aneurysm was pararenal. Renal dysfunction did not occur after these procedures. Back pain and right thigh pain immediately disappeared during the postoperative course. EVAR with multiple methods to reconstruct vessels is thought to be useful in short-necked AAA patients with history of laparotomy.
