An open approach to a ruptured common iliac artery aneurysm with resultant ilio-iliac arteriovenous fistula.

Open surgical repair of an ilio-iliac arteriovenous fistula secondary to a ruptured iliac aneurysm appears to be safe and feasible approach. The advancement of medical technology does open up the possibility of an endovascular approach; however, in a small subset of patients, open repair would appear to be better.