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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 87-88

Emergency endovascular aortic repair for contained rupture of abdominal aortic aneurysm: Tame the violent, when it is silent!


1 Department of Radiodiagnosis, Dr. B.R.A. Institute - Rotary Cancer Hospital, New Delhi 110 029, India
2 Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110 029, India

Date of Submission18-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Sanjeev Kumar
Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2139_19

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How to cite this article:
Chandrashekhara S H, Kumar S. Emergency endovascular aortic repair for contained rupture of abdominal aortic aneurysm: Tame the violent, when it is silent!. Indian J Med Res 2020;152, Suppl S1:87-8

How to cite this URL:
Chandrashekhara S H, Kumar S. Emergency endovascular aortic repair for contained rupture of abdominal aortic aneurysm: Tame the violent, when it is silent!. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:87-8. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/87/316711

Patient's consent obtained to publish clinical information and images.


A 64 yr old male patient of abdominal aortic aneurysm was referred to the department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India, with contained rupture in October 2019, which was successfully managed with endovascular stent graft [Figure 1]A, [Figure 1]B, [Figure 1]C, [Figure 1]D, [Figure 1]E. Follow up computed tomography (CT) after nine months showed patent aortic stent graft in situ with no leak [Figure 1]F.
Figure 1: Endovascular aortic repair in abdominal aortic aneurysm with contained rupture. (A) Volume-rendered reconstruction, (B) coronal, (C) axial computed tomography image showing infrarenal abdominal aortic aneurysm with contained rupture (white arrow). (D) Digital subtraction angiogram revealing infrarenal abdominal aortic aneurysm. (E) Abdominal aortic stent graft with iliac extension device was deployed excluding the aneurysm with no contrast leak. (F) Follow up computed tomography showing aortic stent graft in situ with no leak.

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Ruptured abdominal aortic rupture needs emergency treatment either by surgery or endovascular aortic repair (EVAR). The immediate and acute outcomes of EVAR with Y-shaped stent graft are superior to surgical repair in patients with suitable anatomy. Recent advances in the fast acquisition CT with multiplanar reconstructions can enable in immediate treatment planning in such patients. Endovascular aortic stent graft is an attractive option in such emergency conditions, with the advantage of being less invasive and less morbid.

Conflicts of Interest: None.


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