Endovascular Covered Stent for Inferior Epigastric Artery Rupture after EVAR for Standford B Aortic Dissection

Abstract 

Spontaneous epigastric artery rupture is a rare event, difficult to diagnose and may cause life-threatening shock. We report a case of an inferior epigastric artery rupture at its origin after treatment of Stanford B aortic dissection by endovascular exclusion. The cause of rupture was unknown, but it did not appear to be related to the previous operation. The ruptured artery was identified by arteriography and successfully treated with a membrane-covered stent. The patient was asymptomatic at 1 year of follow-up. Endovascular repair is an excellent treatment strategy for this kind of catastrophic event.

Keywords: Endovascular repair, Epigastric artery, Stent, Arterial rupture