The case involves a 63-year-old man who experienced a contained rupture of an abdominal aortic aneurysm and an inferior vena cava tear 15 months after receiving an Aneurx endograft.
The rupture was likely due to poor fixation of the graft and separation of its components, leading to penetration into the inferior vena cava.
Successful repairs included removing the endograft and reconstructing the blood vessels with an aortobiiliac graft, along with repairing the inferior vena cava injury.