A Successful Case of Endovascular Stent Graft Treatment to Sealed Rupture of an Abdominal Aortic Aneurysm in an Elderly Patient

(Division of Cardiovascular Surgery, Sunagawa Medical Center, Sunagawa, Japan)

Akihiko Sasaki Junichi Sakata
We carried out endovascular stent graft implantation in a patient aged 89 years to sealed rupture of an infrarenal abdominal aortic aneurysm. He had received left ilio-femoral bypass, femoro-femoral cross over bypass and bilateral femoro-popliteal bypass due to ASO in 1989. The infrarenal abdominal aortic aneurysm accompanied with a large hematoma was 4 cm in maximum diameter and reached 4 cm above the bifurcation. There was extravasation into the retroperitoneal space at the proximal aortic neck. We made a stent graft from a Z stent (30mm, 7.5cm) and straight thin-walled (0.15mm) graft (24mm). It was introduced at just below the left renal artery through a 22F delivery sheath by the femoral cut-down approach. Following this procedure he had no leaks and the abdominal aortic aneurysm was excluded by stent graft.
@Jpn. J. Cardiovasc. Surg. 30: 295-298(2001)