Page 6 - Virtual Vascular Vol 11
P. 6

The patient was taken to emergency
                                                                   EVAR.  Access was difficult due to the

                                                                   large hematoma on the left frank.  The
                                                                   left internal iliac artery was first embo-
                                                                   lized with coils.  A bifurcated EVAR was
                                                                   then performed.


                                                                   Although the operation was success-
                                                                   ful, the patient did not survive.  He died
                                                                   from a combination of complications of
                                                                   prolonged hypotension, blood loss, and
                                                                   sepsis leading to multi-organ failure.



                                                                   Ruptured iliac aneurysms has a very high
                                                                   mortality, often due to obscure symptoms
                                                                   and delayed presentation.












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