Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492005000400004
Jornal Vascular Brasileiro
Original Article

Ruptured abdominal aortic aneurysm: prognostic factors

Denise Rabelo da Silveira; Vanessa Prado dos Santos; Aline Faria Lamaita; Henrique Jorge Guedes Neto; Alvaro Razuk Filho; Valter Castelli Jr.; Roberto Augusto Caffaro

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Abstract

OBJECTIVE: To analyze the prognostic factors related to the mortality of ruptured abdominal aortic aneurysm. METHOD: Seventy-two patients who suffered ruptured abdominal aortic aneurysm and were operated in the period between 1976 and 2000 by the Vascular Surgery Unit of the Santa Casa de São Paulo - School of Medical Sciences were retrospectively analyzed. RESULTS: The descriptive analysis of the data shows a mean age of 67.93 years, with a standard deviation of 11.58, 32% female and 68% male. Of the total number, 28% had a previous history of aneurysm and 72% were not aware of the disease. Mean systolic blood pressure during hospital admission was 96.53 mmHg. Pain was present in 100% of the patients, as well as throbbing abdominal mass. In 93% of the cases the location of the aneurysm rupture was the retroperitoneum, 4% in the duodenum, and 2% in the free peritoneum. CONCLUSION: The prognostic factors related to mortality and morbidity that demonstrated statistical significance were: age, initial blood pressure at hospital admission, diuresis during surgery, volume infused, and creatinine levels.

Keywords

ruptured aneurysm, abdominal aortic aneurysm, morbidity

References

Merlo M, Carignano G, Bitossi G. Personal experience of the treatment of ruptured aortic aneurysms: The prognostic evaluation of some parameters. Minerva Cardioangiol. 2001;49:179-87.

Lindsay TF, Johnston KW. Ruptured abdominal aortic aneurysm: from diagnosis to discharge. Advances in vascular surgery 3. 1995:127-148.

Ernst CB. Abdominal aortic aneurysm. N Engl J Med. 1993;328:1167-72.

Wilmink TB, Quick CR, Hubbard CS, Day NE. The influence of screening on the incidence of ruptured abdominal aortic aneurysms. J Vasc Surg. 1999;30:203-8.

Murphy JL, Barber GG, McPhail NV, Scobie TK. Factors affecting survival after rupture of abdominal aortic aneurysm: effect of size on management and outcome. Can J Surg. 1990;33:201-5.

Gloviczki P, Pairolero PC, Mucha P Jr. Ruptured abdominal aortic aneurysms: repair should not be denied. J Vasc Surg. 1992;15:851-7.

Marston WA, Ahlquist R, Johnson G Jr, Meyer AA. Misdiagnosis of ruptured abdominal aortic aneurysms. J Vasc Surg. 1992;16:17-22.

Wakefield TW, Whitehouse WM Jr, Wu SC. Abdominal aortic aneurysm rupture: statistical analysis of factors affecting outcome of surgical treatment. Surgery. 1982;91:586-96.

Lindsay TF, Luo XP, Lehotay DC. Ruptured abdominal aortic aneurysm, a "two hit" ischemia/reperfusion injury: evidence from an analysis of oxidative products. J Vasc Surg. 1999;30:219-28.

Meyer AA, Ahlquist RE Jr, Trunkey DD. Mortality from ruptured abdominal aortic aneurysms: A comparison of two series. Am J Surg. 1986;152:27-33.

Hatori N, Yoshizu H, Shimizu M. Prognostic factors in the surgical treatment of ruptured abdominal aortic aneurysms. Surg Today. 2000;30:785-90.

Crawford ES, Saleh AS, Babb JW III, Glaeser DH, Vaccaro PS, Silvers A. Infrarenal abdominal aortic aneurysm: factors influencing survival after operation performed over a 25-year period. Ann Surg. 1981;193:699-709.

Johansson G, Swedenborg J. Ruptured abdominal aortic aneurysms: a study of incidence and mortality. Br J Surg. 1986;73:101-3.

Bauer EP, Redaelli C, von-Segesser LK, Turina MI. Ruptured abdominal aortic aneurysms: predictors for early complications and death. Surgery. 1993;114:31-5.

Bonamigo TP. Aneurismas rotos da aorta abdominal. Cirurgia vascular. 2002;I.

Sterpetti AV, Cavallaro A, Cavallari N. Factors influencing the rupture of abdominal aortic aneurysms. Surg Gynecol Obst. 1991;173:175-8.

Crawford ES. Ruptured abdominal aortic aneurysm. J Vasc Surg. 1991;13:348-50.

Hardman DT, Fisher CM, Patel MI. Ruptured abdominal aortic aneurysms: who should be offered surgery?. J Vasc Surg. 1996;23:123-9.

Hechelhammer L, Lachat ML, Wildermuth S, Bettex D, Mayer D, Pfammater T. Midterm outcome of endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg. 2005;41:752-7.

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