Ruptured Left Gastric Artery Aneurysms: Three Cases Managed Successfully with Open Surgical Repair

Management of ruptured VAAs can be by either open surgical or endovascular means. The advantages of open exploration in the emergency setting include the ability to directly inspect the gastric wall and other viscera and to evacuate hematoma. Additionally, it does not require the use of an angiographic suite. We feel that open repair remains an important means of managing a ruptured GAA, particularly in the shocked patient.