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.
Highlights
The natural history of an aortoiliac aneurysm (AIA), as with every aneurysm, is progressive expansion and at the end, if not treated, rupture
It is calculated that the annual risk of rupture of an abdominal aortic aneurysm (AAA) with a diameter of >70 mm is 30 to 33%
The right internal iliac artery was oversewn from within at the ostium, while the left was revascularized via a jump graft from the iliac limb of the bifurcated graft
Summary
The natural history of an aortoiliac aneurysm (AIA), as with every aneurysm, is progressive expansion and at the end, if not treated, rupture. Keywords ► aortoiliac ► aneurysm ► rupture ► giant ► open ► repair
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