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Ruptured aortic aneurysms

H Gaylis, E Kessler

    Surgery
    |March 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Surgery for ruptured aortic aneurysms has a high 58% mortality rate, often due to delayed diagnosis and shock. Elective surgery for abdominal aortic aneurysms shows a much lower 6.3% mortality, suggesting resection is generally advisable.

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    Area of Science:

    • Vascular Surgery
    • Aortic Aneurysm Research
    • Surgical Outcomes

    Background:

    • Ruptured aortic aneurysms present a significant surgical challenge with high mortality.
    • Optimal management strategies for abdominal aortic aneurysms (AAAs) require evaluation of both emergent and elective scenarios.

    Purpose of the Study:

    • To analyze the outcomes of surgical intervention for ruptured aortic aneurysms.
    • To compare the mortality rates between ruptured and elective abdominal aortic aneurysms.
    • To identify factors contributing to mortality in ruptured aortic aneurysm cases.

    Main Methods:

    • Retrospective analysis of 105 patients undergoing surgery for ruptured aortic aneurysms over 15 years.
    • Comparison with outcomes of 221 patients who underwent elective aneurysmectomies during the same period.

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  • Review of patient records to identify pre-operative conditions and treatment delays.

    • Main Results:

    • The mortality rate for ruptured aortic aneurysms was 58%.
    • Factors contributing to mortality included cardiorespiratory disease, delayed treatment due to misdiagnosis, and preoperative shock.
    • Elective aneurysmectomies had a significantly lower mortality rate of 6.3%.

    Conclusions:

    • Surgical intervention for ruptured aortic aneurysms is associated with a high mortality rate.
    • Prompt diagnosis and management are crucial to improve outcomes.
    • The low mortality in elective cases strongly supports the recommendation for resection of most abdominal aortic aneurysms.