Abstract
Case 1: an 85-year-old male had abdominal aneurysm ruptured case with retroperitoneal Hematoma (Fitzgerald III type), and the emergency graft replacement was carried on. Case 2: a 76-year-old man had a ruptured abdominal aneurysm (Fitzgerald IV type) in a shock status, and the emergency graft replacement was done. In both cases, IABO catheter was used through left brachial artery for the aortic clamping. Almost no bleeding from the proximal site was seen, and the graft replacement was made by inclusion method. They were discharged without any complication. Inflation of Rescue Balloon through the brachial artery for aortic clamping was useful in stable of hemodynamics and ensuring a good and easier surgical anastomosis. After the blood pressure was stable and there was no bleeding at the proximal site, the graft anastomosis by inclusion technique was done safely and precisely.
