Clinical Analysis of Abdominal Aortic Aneurysm.
- Author:
Kwang Hyun KIM
1
;
Moon Oh BAE
;
Sang Young CHUNG
;
Shin Kon KIM
Author Information
1. Department of Surgery, Chonam University Medical School, Kwang Ju, Korea.
- Publication Type:Original Article
- Keywords:
Abdomianl aortic aneurysm
- MeSH:
Aneurysm;
Aortic Aneurysm, Abdominal*;
Back Pain;
Cause of Death;
Emergencies;
Humans;
Jeollanam-do;
Mortality;
Rupture
- From:Journal of the Korean Surgical Society
1997;52(5):745-750
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thirthy-eighthy cases of abdominal aortic aneurysm(AAA) were surgically treated between January 1991 and December 1995 at the Dept. of Surgery, Chonnam University Hospital. Patients were divided into 20 elective cases and 18 emergency cases and analysed on the basis of sex, age, chief complaints, associated diseases, size of aneurysm, operating time, mortality and cause of death. The initial presentation was usually abdominal or back pain in elective cases, but palpable mass and abdominal distension in emergency cases were ruptured. There was no positive relationship between the size of AAA and the incidency of the rupture. There were no deaths in elective cases, but 12 ruptured AAAs died in 18 emergency cases(66.7%). Overall surgical mortality was 31.3%. The causes of death were postoperative bleeding(5), acute renal failure(3), myocardial infarction(3), and sepsis(1). For AAAs, surgical intervention is recommended and operation must be performed before rupture regardless of the size.
