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[Symptomatic aneurysms of the abdominal aorta]
Summary
Delayed diagnosis of symptomatic abdominal aortic aneurysms due to atypical symptoms led to high mortality. Aneurysm resection offered the best surgical outcome for these complex cases.
Area of Science:
- Vascular Surgery
- Surgical Outcomes
Background:
- Symptomatic abdominal aortic aneurysms (AAAs) require prompt surgical intervention.
- Atypical presentations can complicate diagnosis and delay treatment.
Observation:
- Nine out of 21 patients experienced diagnostic delays due to varied symptoms like pancreatitis or gastrointestinal bleeding.
- Patients with ruptured AAAs had a significant mortality rate of 66%.
Findings:
- Aneurysm resection yielded the best surgical results.
- Indirect aneurysm occlusion with axillofemoral bypass was unsuccessful in two patients.
Implications:
- Early recognition of atypical AAA symptoms is crucial for improving patient survival.
- Aneurysm resection remains the gold standard for treating symptomatic abdominal aortic aneurysms.