Emergency Visceral Hybrid Procedure for Ruptured Thoraco-Abdominal Aortic Aneurysms: A Case Report

Abstract Rupture of a thoraco-abdominal aortic aneurysm (TAAA) is usually lethal. Patients with contained ruptures, who reach the hospital, have traditionally been subjected to open reconstructive surgery. However, especially in older patients, open surgery has a high mortality and morbidity rate. We describe a case of an 82-year-old man with a contained rupture of a Crawford type IV TAAA, whom we successfully treated with endovascular exclusion after visceral and renal re-vascularisation (a visceral hybrid procedure (VHP)).