Experience on surgical management of rupture of abdominal aortic aneurysm.
- Author:
Guan HENG
1
;
Zheng YUEHONG
;
Li YONGJUN
;
Liu CHANGWEI
;
Liu BAO
;
Ye WEI
Author Information
- Publication Type:Case Reports
- MeSH: Aged; Aortic Aneurysm, Abdominal; diagnosis; surgery; Aortic Rupture; diagnosis; surgery; Follow-Up Studies; Humans; Male; Postoperative Complications; therapy
- From: Chinese Medical Sciences Journal 2003;18(2):116-119
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo describe our surgical experience on rupture of abdominal aortic aneurysm.
METHODSTwo cases of ruptured aortic aneurysms with severe complication were analysed. Aorta reconstruction procedures were performed using bifurcated e-PTFE grafts during emergency operation. Diagnosis, preoperative resuscitation, emergency surgical intervention, and postoperative complications of these patients were summarized and discussed.
RESULTSRupture of aortic aneurysm in both patients presented as a huge retroperitoneum haematoma by computed tomography scan. They were successfully saved by prompt body fluid compensation, emergency procedure, intraoperative resuscitation, and postoperative intensive care.
CONCLUSIONSCorrect diagnosis, prompt surgical management, immediate intraoperative proximal aorta clamping during procedure, and effective management of postoperative complications were the key points to successful treatment of ruptured aortic aneurysm.