Endovascular Y-stent Graft Repair of Chronic Contained Ruptured Abdominal Aortic Aneurysm in High-Surgical Risk Patient

Abstract

Abdominal aortic aneurysm is a common condition and many a times asymptomatic. The mortality rate is high when it presents with rupture. However, a chronic contained rupture may remain undiagnosed for several weeks to months due to highly variable clinical presentation. Delay in the diagnosis and thereby delay in the treatment lead to worse clinical outcomes in patient experienced chronic contained rupture. We are here presenting a case of an adult patient who experienced rupture of infrarenal aortic aneurysm along with retroperitoneal hematoma. The abdominal aortic aneurysm was diagnosed after several months of rupture as the rupture occurred into the retroperitoneal cavity and remained confined in the retroperitoneal cavity. We successfully treated the patient by deploying a stent percutaneously.