The surgical mortality rate of ruptured iliac aneurysms is similar to ruptured abdominal aortic aneurysms in terms of their location deep in the pelvis, difficult access to the distal iliac artery due to hematoma, adherences due to prior laparotomy and proximity of the ureter and venous structures. This study aims at highlighting the endovascular procedure as an alternative in the correction of this lesion. We report the case of a patient submitted to aortobiiliac prosthetic graft due to infrarenal abdominal aortic aneurysm 5 years ago, who presented with a ruptured aneurysm in the remaining segment of the left common iliac artery. The patient was hemodynamically stable after fluid replacement therapy and was submitted to urgent endovascular treatment. The treatment resulted in the exclusion of the aneurysm without endoleaks.
Ruptured iliac aneurysm; endovascular treatment of aneurysms; endograft
