Four Cases of Ruptured Abdominal Aortic Aneurysm Treated by Emergent Endovascular Aortic Repair

Abstract

We have experienced 4 cases of endovascular repair for a ruptured abdominal aortic aneurysm. The patients were from 60 to 90 years old. The study population comprised 3 men, and 1 woman. The pre-operative Rutherford classification was level 1 for 1 patient, level 2 for 2 patients, and level 3 for 1 patient. The Fitzgerald classification was type II for 1 patient, and type III for 3 patients. CT angiography was performed for 2 patients, and only plain CT had been performed for the other 2 patients at the previous hospital. The median time interval from arrival at the hospital to the time the operation was performed was 119 ± 48 minutes. For all the patients, the endovascular repair operations were performed using the Gore Excluder device. The median operative time was 212 ± 93 minutes, and the blood loss was 169 ± 197 g. In 3 cases, there was no endoleak；however, re-rupture occurred in the fourth case because of type Ib endoleak and open repair was required. Three of the patients were successfully rehabilitated；1 patient, a 90-year-old woman, died.