[Endovascular stent-grafting for rupture of descending aorta with a patient with severe arterial occlusive disease; report of a case].

A patient was a 63-year-old woman with poor cardiac function and systemic arterial occlusive disease, who complained of severe back pain. Computed tomography (CT) revealed a rupture of the descending aorta. Initially, abdominal aortic approach through open laparotomy was attempted, but a guide wire caused local aortic dissection. Then, after median sternotomy, endovascular stent was successfully deployed through the ascending aorta. Postoperative course was uneventful. Follow-up CT showed no endoleak. A less invasive endovascular repair would be an alternative treatment for high risk patients such as this case, but several access routes should be considered, especially in a patient with systemic arterial occlusive disease.