Abdominal aortic aneurysm endovascular repair in a patient after lung transplantation

We present a unique case of a 72-year-old man who underwent endovascular repair of a ruptured abdominal aneurysm. This patient has received a unilateral left lung transplant for cystic fibrosis 14 months prior to this event. He was being treated with cyclosporine, azathioprine and prednisone as immunosuppressive therapy. Among the studies published to date, this is the first case of a ruptured abdominal aortic aneurysm treated endovascularly after lung transplantation. We noted that prior to the transplant the patient had a small abdominal aortic aneurysm, but that after the transplant the aneurysm evolved rapidly, culminating in rupture.