PMC7102448_01
Initial CT angiogram.
CRIVAM2020-8745780.001.jpg
PMC7102448_01_CRIVAM2020-8745780.001.jpg
fig1
A CT angiogram performed on the same day showed generalized arteriomegaly and the ruptured 9.4 cm PAA involving only the above-knee popliteal artery (Figure 1) and relatively disease-free 3-vessel runoff to the ankle and foot.
Intraoperative arteriogram.
CRIVAM2020-8745780.002.jpg
PMC7102448_01_CRIVAM2020-8745780.002.jpg
fig2
An initial angiogram through a 5F sheath confirmed the CT findings of ruptured PAA with 3-vessel runoff (Figure 2).
Post-stent-graft insertion.
CRIVAM2020-8745780.003.jpg
PMC7102448_01_CRIVAM2020-8745780.003.jpg
fig3
Postcompletion angiography revealed complete exclusion of the aneurysm sac with improved filling of the runoff vessels (Figure 3).
1-year follow-up duplex scan showing the patient's stent. 3-vessel runoff with triphasic flow.
CRIVAM2020-8745780.004.jpg
PMC7102448_01_CRIVAM2020-8745780.004.jpg
fig4
Subsequent 3-month surveillance duplex scans for up to a year showed a patent stent with intact distal circulation (Figure 4).