Fig. 1

Images of the abdominal aortic aneurysm before and during the primary operation. a A computed tomography (CT) scan of the abdomen and pelvis demonstrated rupture of the abdominal aortic aneurysm (orange arrow head). b A 3D-CT scan reconstruction of the abdomen and pelvis demonstrated the abdominal aortic aneurysm with a fistulous communication between the aneurysm and the inferior vena cava (orange arrowhead) and the left common iliac artery aneurysm (orange arrow). c Arterial angiography demonstrated the abdominal aortic aneurysm with fistulous communication between the aneurysm and the inferior vena cava (orange arrowhead). The location of aorta rupture was located 7.5 cm distal to the renal arteries and 2.5 cm proximal to the bifurcation of the aorta. d We deployed an ENDURANTII iliac extension far proximal to the terminal aorta that was long enough to place three or more stents (orange arrowhead)