# Emergency Endovascular Repair for the Non-anastomotic Rupture of a 14-Year-Old Reverse Lock-Knitted Dacron Graft

## TL;DR

An 80-year-old man with a ruptured 14-year-old aortic graft underwent emergency endovascular repair but died from complications.

## Contribution

Reports a rare case of non-anastomotic rupture in a long-term reverse lock-knitted Dacron graft managed with emergency endovascular repair.

## Key findings

- Emergency endovascular repair was technically successful in managing the graft rupture.
- The patient succumbed to postoperative disseminated intravascular coagulation and multiple organ failure.
- Non-anastomotic rupture of a long-term Dacron graft is a rare but life-threatening complication.

## Abstract

An 80-year-old man who underwent abdominal aortic replacement 14 years earlier collapsed suddenly and was rushed into our emergency room. In a state of confusion on arrival, he ended up experiencing cardiopulmonary arrest. Cardiopulmonary resuscitation was successful, and a contrast-enhanced computed tomography revealed a massive retroperitoneal hemorrhage around the bifurcated prosthetic graft. Aortography revealed a non-anastomotic rupture of the graft’s body. An emergency endovascular repair was successfully performed; however, the patient died due to disseminated intravascular coagulation and multiple organ failure on postoperative day one.