Complete aortic sac shrinkage following endovascular repair of ruptured abdominal aortic aneurysm (REVAR)

A 59 year old gentleman with a background history of hypertension and hyperlipedaemia, presented to the emergency department with abdominal and chest pain. He was confused and haemodynamically unstable. His blood pressure at presentation was 70/40 His pulse was 125, on examination his abdomen was tender centrally and in the left flank. A fast scan revealed asizeable abdominal aortic aneurysm. Patient underwent a CT scan angiogram on route to the operating theatre. The CT scan confirmed a rupturedabdominal aortic aneurysm (AAA). It was 5.8cm at maximum diameter. There was a large retroperitoneal haematoma on the left side. The patient had bilateral common iliacsaccular artery aneurysms, measuring 3.5 cm on the right and 2.5 cm on the left (Figures 1). The anatomy of the aneurysm was suitable for endovascular repair of the ruptured abdominal aortic aneurysm (REVAR).