Unusual as well as well-known complications can occur after aortic reconstruction. In an effort to heighten awareness of these possibilities, a case is presented of a 71-year-old male who was brought to the emergency department with severe back @entity158 of 2 days duration and @entity551 . He had undergone repair of an @entity1028 6 years earlier. An emergency computed tomography scan demonstrated a 10-cm @entity1028 extending from just above the celiac axis, through the aortic bifurcation, with retroperitoneal and intraperitoneal @entity1410 . He was found at operation to have extension of his @entity439 proximally, with complete separation of the proximal suture line, and @entity397 of the distal aortic wall. Since the @entity439 had been closed around the graft at the time of the original operation, his @entity439 had essentially been restored, and the diseased wall was again exposed to the tensile stresses from the pulsatile column of blood. Emergency repair was successful, despite postoperative complications including @entity583 , and later @entity397 of an @entity1029 . @entity1 presenting with signs and symptoms consistent with a @entity1755 after previous repair should be addressed aggressively with computed tomography if it is immediately available and the diagnosis is in doubt. The @entity1 should then undergo an immediate operation. Such recurrence, although rare, must always be considered a possibility. Similar scenarios may be encountered secondary to endoleaks occurring after endoluminal aortic repairs.

XXXX of an @entity1028 , previously repaired using an endoaneurysmorrhaphy technique.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patient'] @entity1755 :: ('MESH:D001019', 'Disease') :: ['ruptured abdominal aortic aneurysm'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysmal disease', 'aneurysm'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity1029 :: ('MESH:D017543', 'Disease') :: ['iliac artery aneurysm'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['infrarenal abdominal aortic aneurysm', 'abdominal aortic aneurysm']
@entity397 :: (MESH:D012421,Disease) :: ['Infrarenal rupture']
