Endovascular repair of ruptured aortic aneurysm (REVAR) has been used worldwide in high volume centres since 1994. Observational studies indicate that this treatment modality is equally as good as or maybe even better than open surgery. Until recently, open surgery was the only treatment option in Denmark, but since 2012 REVAR has been introduced at Odense University Hospital and is now performed around the clock in eligible patients. We present a case report of the first patient in Denmark treated with REVAR and briefly discuss complications, prognosis and cost-effectiveness.