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Ruptured abdominal aortic aneurysm--outcomes in the last ten years.
J Podlaha1, Z Gregor, P Roubal
12nd Department of Surgery in Brno, School of Medicine, Masaryk University Brno, Czech Republic. jiripodlaha@fnusa.cz
Bratislavske Lekarske Listy
|July 29, 2000
Summary
Ruptured abdominal aortic aneurysms (AAA) are highly lethal, with a nearly 48% in-hospital mortality rate. Early diagnosis and quality care are crucial for improving patient prognosis in ruptured AAA cases.
Area of Science:
- Vascular Surgery
- Emergency Medicine
- Surgical Outcomes
Background:
- Ruptured abdominal aortic aneurysm (AAA) presents a significant and often fatal surgical emergency.
- Aneurysm rupture carries a high mortality rate, demanding immediate medical intervention.
Purpose of the Study:
- To analyze the outcomes of patients operated on for ruptured infrarenal AAA.
- To identify factors influencing mortality in ruptured AAA cases.
Main Methods:
- Retrospective review of 92 patients undergoing surgery for ruptured infrarenal AAA between January 1989 and October 1999.
- Analysis of preoperative conditions, intraoperative findings, and causes of in-hospital mortality.
Main Results:
- The in-hospital mortality rate was 47.8% (44 patients).
- Hypotension (systolic BP < 90 mmHg) was present in 76% of patients; 16.3% had cardiac arrest preoperatively.
- Multiorgan failure from hemorrhagic shock was the leading cause of death (25%), followed by heart failure (8.7%) and pulmonary complications (5.4%).
Conclusions:
- Prognosis for ruptured AAA is heavily dependent on prompt diagnosis and high-quality perioperative and postoperative care.
- The presence of hemoperitoneum was associated with a higher mortality rate (51.6%) compared to cases without (40%).