Endovascular repair of a ruptured giant popliteal artery aneurysm.

This report presents the first reported case of an endovascular repair of a ruptured giant popliteal artery aneurysm. The patient, an 86-year-old man, presented emergently with a free rupture of a 7-cm left popliteal artery aneurysm and a large hematoma in his left thigh of approximately 20 cm in diameter. The patient was considered to be at high risk for open surgery and therefore underwent endovascular repair of his ruptured popliteal artery aneurysm using two 8 mm x 15 mm Viabahn endografts. At one month follow-up, the large hematoma in the left thigh had completely resolved, the patient was ambulating without pain or difficulty and had palpable pedal pulses on physical examination. One year following the procedure, the endografts remained patent without endoleak.