Introduction. An aneurysm is a localized, permanent dilation of an arterial
blood vessel with a diameter greater than 50% of the usual diameter for that
aortic segment. It is treated with endovascular stent graft placement or
open surgery. Endovascular stent grafting of the abdominal aorta has become
popular as an elective treatment. but one of the complications is increased
aneurysm diameter that may lead to rupture. Case Series. This case series
reviews open reconstructive surgery of ruptured abdominal aortic aneurysms
in three patients treated with endovascular repair. The diameter of the
aneurysm increased due to endoleak or stent graft migration, leading to
rupture. Due to the inability to extract the stent graft in two patients,
the graft was transversely cut at the proximal part, where upper anastomosis
was created using a Dacron graft prosthesis. Conclusion. Regular annual
controls for the rest of patients lives are of great importance in order to
avoid fatal complications after endovascular aneurysm repair. One of the
methods after the abdominal aortic rupture after endovascular stent graft
treatment that significantly shortens the duration of the surgery and gives
a more stable upper anastomosis, is transverse stent graft cut in the
proximal part. Complete prevention remains a challenge because a rupture
may occur even if the abnormalities are not evident. The ultimate goal is to
increase the survival rate after the ruptured abdominal aortic aneurysm.
Ruptured abdominal aortic aneurysm after endovascular repair
