Despite the fact that medical advances has been continued up to date, improvement of survival rate for patients with ruptured abdominal aortic aneurysm(r-AAA) is near inappreciable. Endovascular aortic repair (EVAR), with the transition of ideas, was expected to be an innovative approach, however, unfortunately recent studies shows that it still has a long way to go in this era. From 2016 to 2017, we performed emergency operation to the 13 cases of ruptured AAA with only one mortality. Kilsoo Yie M.D Chief Surgeon, Dep. of Cardiovascular Surgery. Cheju Halla General Hospital. JEJU, S.KOREA.