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KMID : 0371320090770060429
Journal of the Korean Surgical Society
2009 Volume.77 No. 6 p.429 ~ p.433
Successful Endovascular Aneurysm Repair for a Ruptured Abdominal Aortic Aneurysm
Kim Jang-Young

Park Keun-Myoung
Jeon Yong-Sun
Cho Soon-Koo
Hong Kee-Chun
Abstract
Endovascular aneurysm repairs for a ruptured AAA (EVAR for r-AAA) have been reported with limited results although endovascular aneurysm repairs for elective AAA (EVAR for e-AAA) have shown good early and late results. In this case report, the authors described successful EVAR for r-AAA. A 93-year-old female underwent emergent EVAR for r-AAA. An aortic occlusion balloon was inserted before general anesthesia for hemodynamic stability. Zenith endograft was deployed under general anesthesia. Completion angiography showed no endoleak but there was coverage of the right renal artery. She was discharged 2 weeks after overcoming transient acute renal insufficiency. We concluded that EVAR for r-AAA can be an alternative option for the treatment of ruptured AAA.
KEYWORD
Abdominal aortic aneurysm, Rupture, Endovascular treatment, Stent, Stent graft
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