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Medium-Term Survival After Unrepaired Ruptured Abdominal Aortic Aneurysm
Sarah Tham1, Darius Aw2, Kalpana Vijaykumar2
1Department of General Surgery, Sengkang General Hospital, SingHealth Services, Singapore.
Summary
A rare case of ruptured abdominal aortic aneurysm (AAA) survived 13 months without repair. This study explores potential factors behind spontaneous sealing and prolonged survival in this critical condition.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
- Clinical Case Studies
Background:
- Ruptured abdominal aortic aneurysm (AAA) typically necessitates immediate surgical intervention for survival.
- Conservative management of ruptured AAA is generally associated with a near-fatal prognosis.
Observation:
- An 87-year-old male presented with an acute ruptured AAA and retroperitoneal hematoma.
- Despite counseling for emergent repair, the patient opted for conservative management.
- The patient remained clinically well for 13 months, with resolution of symptoms and hematoma.
Findings:
- This case demonstrates the possibility of spontaneous sealing of a ruptured AAA.
- The patient experienced prolonged survival (13 months) following untreated ruptured AAA.
Implications:
- Highlights the potential for rare spontaneous resolution in ruptured AAA cases.
- Suggests the need to investigate factors contributing to spontaneous AAA sealing and survival.
- Challenges the absolute fatality associated with unrepaired ruptured AAA.
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