When an abdominal aortic aneurysm has ruptured, which of the following is the procedure of choice to repair the tear?

In the case of a ruptured abdominal aortic aneurysm, the procedure of choice is graft placement. This approach involves the surgical implantation of a graft to repair the damaged segment of the aorta. The urgency of addressing a ruptured aneurysm is paramount, as it poses a significant risk of massive internal bleeding, which can lead to shock and death if not managed promptly.

Graft placement serves to reinforce the weakened area of the aorta and provides structural support to allow for proper blood flow. This procedure can be accomplished through open surgery or, in some cases, minimally invasive techniques, depending on the specific clinical scenario and the anatomy of the aneurysm.

While other options, such as stenting, may also be used in cases of aneurysms or in some vascular repair situations, they are not typically the primary choice for an acute rupture. Stenting might be more suitable for elective cases or in situations where traditional surgical repair is deemed too risky. Surgical clipping is generally applied in the context of cerebral aneurysms rather than aortic repairs. Coiling is typically reserved for treatment of specific types of aneurysms in the brain and has limited application in the context of a ruptured abdominal aortic aneurysm. Thus, graft placement remains the most