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

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.