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. 2020 Dec;8(6):172-174.
doi: 10.1055/s-0040-1721747. Epub 2021 Mar 24.

A Case of Giant Aortoiliac Aneurysm Rupture when Open Repair Seems a One-Way Street

Georgios Galanopoulos  1   2 , Vassilios Papavassiliou  3
Affiliations

A Case of Giant Aortoiliac Aneurysm Rupture when Open Repair Seems a One-Way Street

Georgios Galanopoulos et al. Aorta (Stamford). 2020 Dec.

Abstract

Giant aortoiliac aneurysm is a rare nosological entity. Owing to the increased diameter, the risk of rupture is extremely high and, similarly, the repair is extremely challenging. In this article, open surgical repair of a ruptured giant aortoiliac aneurysm in a 72-year-old male is described. A bifurcated Dacron graft was used with left internal iliac artery revascularization, while the contralateral internal iliac artery was ligated. The patient had an uneventful recovery.

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Conflict of interest statement

The authors declare no conflict of interest related to this article.

Figures

Fig. 1
Fig. 1
Contrast-enhanced computed tomography demonstrates a giant aortoiliac aneurysm at the level of the aortic bifurcation with extensive thrombus.
Fig. 2
Fig. 2
Appearance of giant iliac aneurysms with extensive thrombus and signs of rupture in the medial wall of the right iliac artery. Significant retroperitoneal pelvic hematoma is shown (arrows).
Fig. 3
Fig. 3
B-mode image of the proximal anastomosis.
Fig. 4
Fig. 4
Color-flow Doppler image of the proximal anastomosis.
See this image and copyright information in PMC

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