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Type II Endoleak after EVAR for a Ruptured Abdominal Aortic Aneurysm: Identification and Treatment
The patient is a 76-year-old man that was transferred from a nearby ER on March 26, 2007. He presented with abdominal and left flank pain that was found to be secondary to a ruptured abdominal aortic aneurysm (AAA) measuring 7.3 cm in maximum diameter. The patient had a history of hypertension, hyperlipidemia, coronary artery disease, and atrial fibrillation. The patient was also taking a combination of Coumadin, Toprol XL, ASA, Allopurinol, Lasix, Prednisone, Clonazepam. The patient presented to the ER with improved but persistent flank pain and was hemodynamically stable. The AAA was ruptured with a favorable anatomy for EVAR.
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