Intervention followed endovascular aneurysm repair for abdominal aortic aneurysm: a case report

Abstract

Implementation of a national screening programme for abdominal aortic aneurysm (AAA) in men is on the public health agenda of many western European countries. Its cause 1.3% of all deaths among men aged 65-85 years in developed countries. These aneurysms are typically asymptomatic until the catastrophic event of rupture. The elective open AAA repair carries a 5% mortality. Whereas the 30 days mortality associated with ruptured AAA is widely believed to be around 80%; and of those that reach hospital alive and undergo emergency surgery, approximately 40% will die within 30 days of surgery. An AAA is usually detected on routine examination as a palpable, pulsatile, and non-tender mass. A 65-year-old female did endovascular aneurysm repair for AAA she had hypertension, dyslipidemia, type 2 diabetes on treatment, congestive heart failure with an ejection fraction of 32%. In 3.5 years ago presents with 8 days of fever, severe abdominal pain. Image angiogram showed signs of endovascular aneurysm repair site (intraluminal gas, aneurysm sac). Since she is clinically unfitting for surgery, treated with percutaneous drainage for the aortic collection and antibiotics for long period and periodically follow up.