Ruptured Infrarenal Abdominal Aortic Aneurysms, Al Mowassat Hospital Experience


Abstract in English

The rupture of infrarenal abdominal aortic aneurysm is considered a life threatening serious complication with a mortality rate over 50 %. The author reviewed in this study 14 patients ( 10 Males/ 4 Females) presented to Al Mowassat Hospital over a period of two years 2000-2001 with mean age of 65 years. The diagnosis was confirmed by abdominal Echography and abdominal contrast Ct-scan in 10 patient while 4 patients had abdominal Echography only preoperatively , a confined retroperitoneal rupture was confirmed in all patients . The overall mortality was 42,8% (6 patients) : 4 patients had intra operative death because of hemodynamic instability at presentation ,one patient died 2 days later because of acute myocardial infarction, one patient died l week later because of the complication of acute renal failure The author concludes that early diagnosis and rapid surgical approach proceeding associated with a good postoperative care can reduce the mortality of ruptured infrarenal abdominal aortic aneurysms.

References used

Should ruptured abdominal aortic aneurysms be repaired in the octagenerian? Sean ,P.Roddy, et al. Cardiovascular sugery,oct,2003,vol11,no5
Aneurysms of abdominal aorta :Clinical onset, diagnosis. Agrifoglio G.,Gabrielli L. Academic press,London page 19,1982
The quality of care for patients with abdominal aortic aneurysms. Justin B.Dimick,Gilbert R.Jr Cardiovascular surgery,oct.2003

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