Ruptured abdominal aortic aneurysm: impact of comorbidity and postoperative complications on outcome

Annals of Vascular Surgery
J M PannetonF Laurendeau

Abstract

Ruptured abdominal aortic aneurysm (AAA) remains a common and highly lethal problem. This study evaluates the morbidity and mortality rates and aims to identify which clinical variables could predict the outcome. We reviewed the records of 112 patients (97 men and 15 women) operated on for ruptured infrarenal AAA within the past 12 years (April 1, 1980, to March 31, 1992). Forty-seven clinical variables were collected and correlated with outcome by univariate and multivariate analysis. Mean age was 72.4 years (range 51 to 89 years). Only 12.5% were known to have an AAA before rupture. Preoperative systolic pressure < 90 mm Hg was present in 84 patients (75%) and 11 patients (9.8%) experienced cardiac arrest before surgery. The in-hospital mortality rate was 49.1% (55/112). Two preoperative variables were associated with increased mortality: systolic pressure < 90 mm Hg and cardiac arrest (p = 0.04 and p = 0.009, respectively). Preoperative comorbidity had no impact on outcome. Massive blood loss (> or = 5000 ml) was an intraoperative factor predictive of increased mortality (p = 0.0007). After multivariate analysis, only the following five postoperative variables were associated with increased mortality: cardiac event, renal fa...Continue Reading

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Citations

Mar 14, 2007·Annals of Vascular Surgery·Farida BounouaPaul Cisek
Oct 4, 2005·Annals of Vascular Surgery·Patrick A StoneSarah K Flaherty
Nov 7, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R BraamsB C Eikelboom
Aug 5, 2000·Journal of Vascular Surgery·S T PatelK C Kent
Oct 12, 2007·Journal of Vascular Surgery·Andrew L TambyrajaRoderick T A Chalmers
Sep 20, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H S RaytM J Bown
Aug 27, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A G PeppelenboschG W H Schurink
Jan 30, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L L HoornwegR Balm
Jun 4, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M J BownR D Sayers
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H W KniemeyerM K Widmer
Mar 31, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H P van DongenA de Boer
Jan 10, 1998·Journal of Vascular Surgery·V J HalpernJ R Cohen
Oct 26, 2016·Journal of Vascular Surgery·Donald G HarrisRobert S Crawford
Sep 27, 2016·Journal of Vascular Surgery·Sayid ZommorodiRebecka Hultgren
Aug 2, 2003·Vascular and Endovascular Surgery·Germano MelissanoRoberto Chiesa
Aug 3, 2010·Vascular and Endovascular Surgery·Matthew D TadlockBryan S King
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May 16, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Vinay KumarLewis E Hatten
Jun 8, 2001·The American Journal of Forensic Medicine and Pathology·S M John, T D Koelmeyer
Mar 26, 2010·Radiation Research·Jacqueline P WilliamsWilliam H McBride
Dec 14, 1999·Annals of Vascular Surgery·M Alonso-PérezL Cal

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