| Summary: | : Introduction: The management and outcome of a patient with a type III thoracoabdominal aortic aneurysm (TAAA) are reported. Methods: The patient was scheduled for a two-stage endovascular repair strategy but experienced a contained TAAA rupture a week before the planned second stage fenestrated endovascular repair that had been postponed from 6 weeks to 5 months. Results: Fortunately, the fenestrated device had already been delivered to the hospital; the contained rupture was thus managed endovascularly in this high-risk patient. Conclusion: Staging extensive TAAA repairs to reduce the incidence of spinal cord ischemia is associated with a risk of interval aneurysm rupture. Keywords: Endovascular TAAA repair, Stage procedure, Paraplegia, Rupture
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