Ruptured abdominal aortic aneurysms: the excessive mortality rate of conventional repair

Journal of Vascular Surgery
A A NoelJ W Hallett

Abstract

Rupture of abdominal aortic aneurysms (AAAs) remains lethal. In a report of patients treated in the 1980s, we recommended aggressive management. Our continued experience prompted us to reevaluate this policy. We reviewed clinical variables affecting outcome, morbidity, mortality, and trends in mortality of all patients managed at our institution with ruptured AAAs between January 2, 1980, and November 30, 1998. The study group included 413 consecutive patients, 339 men and 74 women. The mean age was 74.3 years (range, 49-96); 116 (28%) patients were older than 80 years. AAA was diagnosed before rupture in 119 (29%) patients. Eighty (19%) patients had preoperative cardiac arrest. Twenty-nine (7%) patients died before operation; 65 (17%) died during the operation. The surgical mortality rate (30-day) was 37%; the overall mortality rate was 45% and was higher in women (68%) than in men (40%) (P <.001). Advanced age, APACHE (Acute Physiology and Chronic Health Evaluation) II score, initial hematocrit, and preoperative cardiac arrest were associated multivariately with 30-day mortality rates by means of stepwise logistic regression (P <.05). Twelve (23%) of 53 patients with cardiac arrest survived the operation. Logistic regression,...Continue Reading

References

Aug 1, 1989·European Journal of Vascular Surgery·J S BuddP G Carter
Feb 1, 1986·The British Journal of Surgery·G Johansson, J Swedenborg
Jul 13, 1999·Journal of the American College of Surgeons·T OhkiR T Lyon
Aug 7, 1999·Journal of Vascular Surgery·T B WilminkN E Day
Feb 15, 2000·The British Journal of Surgery·J B SemmensC D Holman
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E P TurtonR C Kester
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 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M H SeeligK Schönleben
Sep 6, 2000·The British Journal of Surgery·J Collin

❮ Previous
Next ❯

Citations

Apr 30, 2004·Srpski arhiv za celokupno lekarstvo·Miroslav MarkovićSlobodan Lotina
Jan 27, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J TongG A Holzapfel
Jan 5, 2011·Seminars in Vascular Surgery·Mohammad H Eslami, Louis M Messina
Jan 8, 2010·Annals of Vascular Surgery·Joseph J RicottaGustavo S Oderich
May 22, 2007·Annals of Vascular Surgery·Fatih IslamogluYüksel Atay
Mar 14, 2007·Annals of Vascular Surgery·Farida BounouaPaul Cisek
Jul 2, 2008·Journal of Vascular and Interventional Radiology : JVIR·Michael Monge, Mark K Eskandari
Oct 17, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Mark T KeeganBekele Afessa
Sep 18, 2008·ANZ Journal of Surgery·Mark W GrantAndre M van Rij
May 28, 2010·The Mount Sinai Journal of Medicine, New York·Neal S Cayne, Frank J Veith
Feb 17, 2005·Annals of Vascular Surgery·Lazar DavidovićTanja Ille
Dec 16, 2004·Annals of Vascular Surgery·Sergio M SampaioPeter Gloviczki
Aug 16, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Ryan BrinkmanDuane J Funk
Apr 9, 2016·Langenbeck's Archives of Surgery·Andreas S PetersDittmar Böckler
May 20, 2015·Annals of Biomedical Engineering·Jianhua Tong, Gerhard A Holzapfel
Jan 19, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Kazuki HisatomiDaisuke Onohara
Feb 5, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S AuneE Dregelid
Jun 4, 2002·Journal of Vascular Surgery·Norman R HertzerEdwin G Beven
Oct 12, 2007·Journal of Vascular Surgery·Andrew L TambyrajaRoderick T A Chalmers
Jul 3, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M L LachatM I Turina
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
Dec 26, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K H OrendL Sunder-Plassmann
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N PeppelenboschA Tielbeek
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I Van HerzeeleJ De Roose
Mar 18, 2008·International Journal of Surgery·Shameen Jaunoo
Nov 7, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J R BoyleM J Phillips
Aug 4, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I HinterseherH Bergert
Aug 4, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P N PostJ H van Bockel
Jun 21, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M R KapmaJ J A M Van den Dungen
Jan 11, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F L MollUNKNOWN European Society for Vascular Surgery
Sep 1, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M L LachatM I Turina
Jul 11, 2016·Annals of Vascular Surgery·Miroslav MarkovićLazar Davidović
Oct 26, 2016·Journal of Vascular Surgery·Donald G HarrisRobert S Crawford
Sep 27, 2016·Journal of Vascular Surgery·Sayid ZommorodiRebecka Hultgren
Oct 1, 2008·Acta Cirúrgica Brasileira·Thiago Adriano Silva GuimarãesTakachi Moriya

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.