Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

Introduction Approximately 40 cases of spontaneous rupture of the aorta have been described in the literature. Diagnosis can be challenging, and a high index of clinical suspicion enabling prompt treatment can be lifesaving. Report This report presents the case of a 73 year old man who had three multilevel ruptures of the aorta at different times, all treated endovascularly. The patient had a good post-operative course, with no complaints during regular follow up. Discussion Clinical presentation was non-specific because the ruptures were contained, but spontaneous rupture of the aorta can manifest with a catastrophic presentation and hypovolaemic shock, requiring immediate treatment. The endovascular technique used was safe and resolved the patient's symptoms.
Highlights • About 40 cases of spontaneous rupture of the aorta have been described to date. • The idiopathic form is rare and there are few reports in the literature. • The reported case demonstrates that symptoms may be non-specific and indolent. • The endovascular technique was safe and resolved the patient's symptoms.