Surgical treatment of ruptured abdominal aortic aneurysm

VernacularTitle:破裂性腹主动脉瘤的治疗
Author: Chang SHU ; Tun WANG
Publication Type:Journal Article
Keywords: Ruptured abdominal aortic aneurysm; Surgical procedures,operative; Balloon catheter; Endovascular aortic repair
From: International Journal of Surgery 2013;40(12):805-808,封3
CountryChina
Language:Chinese
Abstract: Objective To evaluate surgical management of ruptured abdominal aortic aneurysm (RAAA).Methods Clinical data of 36 RAAA patients undergoing emergent graft replacement or endovascular aortic repair (EVAR) from May 2002 to July 2013 were retrospectively analyzed.25 and 21 patients were associated with hypertension and chronic obstructive pulmonary disease respectively.33 patients were treated with graft replacement.3 patients received endovascular treatment and 1 patient converted to open surgery.Results Perioperative death occurred in 3 patients including severe hemorrhagic shock in 1 patient,cardiac arrest in 1 patient and multiple organ failure in 1 patient.During follow up for 3 to 61 months,no operation related complication,such as artificial graft infection happened.Conclusions Emergent operation including open surgery and EVAR is crucial for RAAA treatment.Early diagnosis,excellent operative techniques and effective perioperative management are measures conducive to lowering the mortality rate of RAAA.