Endovascular Treatment of an Acutely Thrombosed Abdominal Aortic Aneurysm.

Background: Acute thrombosis of an infrarenal abdominal aortic aneurysm may be a life-threatening condition.

Report: We describe a case of acute thrombosis of a 3.5-cm abdominal aortic aneurysm resulting in threatened lower limbs, in a high-risk surgical patient. Emergency stent-graft placement was undertaken using Fluency endoprostheses. The patient remains well at 1-year follow-up.

Conclusion: High-risk surgical patients with acutely thrombosed abdominal aortic aneurysms may not be candidates for open surgery. Use of peripheral stent grafts in emergency situation has not been reported in such patients.