Plug the Hole - A Bailout Option for Acute Focal Aortic Rupture

Mohamed A. Zayed, Clement Marshall, Michael Dake, Jason T. Lee

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Background Focal aortic rupture may result from expanding aneurysms, penetrating aortic wall ulcerations, or virulent infections. An urgent repair of paravisceral focal aortic rupture is associated with high morbidity. A staged repair approach may provide an alternative option. Case Report A 64-year-old woman presented with acute focal rupture of the posterior paravisceral aortic wall and was progressing to hemorrhagic shock and mesenteric ischemia. Given the patient's dire condition, an endovascular approach was used to plug her focal aortic wall defect using a ventricular septal defect occluder device. Subsequently, the patient underwent resuscitation, stabilization, and operative exploration. Postoperatively, she recovered well from this staged approach. Conclusions This case provides an example of a staged endovascular plugging of an acute paravisceral focal aortic rupture. In select cases, this type of repair strategy is feasible, until off-the-shelf endovascular repair options become a reality.

Original languageEnglish
Pages (from-to)309.e5-309.e9
JournalAnnals of Vascular Surgery
StatePublished - Jan 1 2016


Dive into the research topics of 'Plug the Hole - A Bailout Option for Acute Focal Aortic Rupture'. Together they form a unique fingerprint.

Cite this