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[Chronic rupture of abdominal aortic aneurysms]
L B Davidović1, S I Lotina, I S Cinara
1Institute of Cardiovascular Diseases, Clinical Centre of Serbia, Belgrade.
Srpski Arhiv Za Celokupno Lekarstvo
|December 24, 1998
Summary
This study presents five cases of chronic contained rupture of abdominal aortic aneurysms (CRAAA). These rare cases mimic other conditions, highlighting the need for thorough diagnosis in patients with abdominal aortic aneurysms.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
- Diagnostic Imaging
Background:
- Abdominal aortic aneurysms (AAA) can rupture in several ways, including contained rupture with retroperitoneal hematoma.
- Previous literature has used terms like 'sealed,' 'spontaneously healed,' and 'leaking' AAA to describe similar scenarios.
- Chronic contained rupture of the abdominal aortic aneurysm (CRAAA) is a rare presentation.
Observation:
- This paper details five patients diagnosed with CRAAA between 1988 and 1997.
- Patients presented with varied symptoms, often lasting days to months, and lacked typical signs of ruptured AAA.
- Diagnostic imaging revealed infrarenal AAA and/or iliac artery aneurysms with associated retroperitoneal hematomas compressing adjacent structures.
Findings:
- All five patients underwent surgical repair, including aneurysm resection and bypass grafting.
- Post-operative recovery was successful in all cases, with patent grafts during follow-up periods of up to 4 years.
- The study highlights the diagnostic challenges and successful management of CRAAA.
Implications:
- Recognizing CRAAA is crucial for timely and appropriate surgical intervention.
- Advanced imaging techniques are essential for accurate diagnosis of these atypical presentations.
- Successful surgical outcomes can be achieved in patients with CRAAA through prompt treatment.