Rupture of abdominal aortic aneurysm after previous EVAR

Endovascular technologies are becoming the milestone of treatment for aneurysmal disease of the abdominal aorta and ruptured aorta, evolving over time as an attractive alternative to open repair, especially for high risk patients. Many successful technical results have been achieved with this treatment, but long-term durability of the EVAR have been used remains controversial. An 74 year old presented to the Emergency Department with ruptured abdominal aortic aneurysm after EvAr because of a type IA endoleak. Open surgical repair was performed and the post-operative course was without complications. The current case underlines the value of open surgery in ruptures aorta after EVAR.