scholarly journals Significance of delayed surgical treatment of symptomatic non-ruptured abdominal aortic aneurysm

2019 ◽  
Vol 72 (3-4) ◽  
pp. 80-87
Author(s):  
Slavko Budinski ◽  
Janko Pasternak ◽  
Vladimir Manojlovic ◽  
Vladimir Markovic ◽  
Dragan Nikolic
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Abdominal Aorta ◽  
Ruptured Aneurysm ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Ruptured Aneurysms ◽  
Abdominal Aortic ◽  
Significant Difference ◽  
The Impact

Introduction. An abdominal aortic aneurysm is a permanent focal dilation of the blood vessel wall to about 1.5 times larger than the normal diameter. Clinically, it may be divided into symptomatic and asymptomatic. It is still discussed whether patients with symptomatic non-ruptured abdominal aortic aneurysm benefit more from emergency or delayed surgical treatment. The aim of the study was to evaluate the results of the symptomatic non-ruptured aneurysms in regard to the diameter of ruptured and non-ruptured symptomatic aneurysms and the impact of the time elapsed from admission to surgery on its outcome. Material and Methods. The retrospective study included all 133 patients who underwent surgery due to symptomatic non-ruptured or ruptured abdominal aortic aneurysm at the Clinic of Vascular and Endovascular Surgery during the previous 3 years. Results. Out of a total of 133 patients, 75.19% underwent surgery in the first 24 hours after admission, while the rest 24.81% of patients were operated later. Intraoperative complications were recorded only in patients with ruptured aneurysms, 4% had cardiac arrest and 1.5% of patients had fatal outcome. The in-hospital mortality was 16.67% in patients with non-ruptured aneurysm of the abdominal aorta operated in the first 24 hours, and 9.91% in patients who were operated after 24 hours after admission. Conclusion. Early elective surgery is a method of choice in the treatment of symptomatic non-ruptured aneurysm of the abdominal aorta. However, surgical treatment in the first 24 hours is associated with a higher mortality rate than surgery after 24 hours after admission. Also, there is no statistically significant difference in the diameter of ruptured and non-ruptured symptomatic aneurysms, but the average size of the aneurysm diameter is higher in ruptured than in non-ruptured aneurysms, which confirms the fact that the increase in diameter increases the risk of aneurysm rupture.

scholarly journals Simultaneous surgical treatment of ruptured abdominal aortic aneurysm and acute carotide occlusive disease

2009 ◽  
Vol 56 (1) ◽  
pp. 101-103
Author(s):  
Z.V. Maksimovic ◽  
N. Jakovljevic ◽  
S. Putnik ◽  
D. Jadranin ◽  
D. Markovic ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Good Condition ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Acute Thrombosis ◽  
Abdominal Aortic

Combined rupture of abdominal aortic aneurysm and acute thrombosis of internal carotid artery is extremely rare but fatal combination resulting in high mortality rate. Presented case, shows successfully performed simultaneous surgery of ruptured abdominal aortic aneurysm and acute cerebrovascular insult caused by thrombosis of carotid artery in 81 year-old male. Post operative course was uneventfull. At 24 months follow up patient was in good condition, with full neurological recovery. Simultaneous surgical treatment of acute occlusive carotid disease and ruptured abdominal aortic aneurysm (RAAA) seems to be the only life saving procedure for this rare, but very complicated condition. To our knowledge, this is the first reported successful simultaneous surgical treatment of RAAA and acute thrombosis of internal carotid artery.

scholarly journals Factors Affecting Survival after Surgical Treatment for Ruptured Abdominal Aortic Aneurysm.

1999 ◽  
Vol 28 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Hiroshi Ohuchi ◽  
Keisuke Ueda ◽  
Yuji Yokote ◽  
Takuji Watanabe ◽  
Haruhiko Asano ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Factors Affecting ◽  
Abdominal Aortic

On site surgical treatment of ruptured abdominal aortic aneurysm

2011 ◽  
Vol 10 (03) ◽  
pp. 161-163
Author(s):  
Susumu Ishikawa ◽  
Akio Ohtaki ◽  
Toru Takahashi ◽  
Tetsuya Koyano ◽  
Masao Suzuki ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Abdominal Aortic

scholarly journals Treatment Strategies for Improving Surgical Outcomes of Ruptured Abdominal Aortic Aneurysm

2021 ◽  
Author(s):  
Yasumi Maze ◽  
Toshiya Tokui ◽  
Masahiko Murakami ◽  
Teruhisa Kawaguchi ◽  
Ryosai Inoue ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Hospital Mortality ◽  
Surgical Outcomes ◽  
Long Term Results ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Intestinal Necrosis ◽  
Abdominal Aortic ◽  
Significant Difference

Abstract PurposeWe examined the surgical outcomes at our hospital and considered strategies for improving surgical outcomes for ruptured abdominal aortic aneurysm.MethodsWe examined 95 surgical cases of ruptured abdominal aortic aneurysm performed from January 2009 to December 2020.We examined the preoperative characteristics hospital mortality, postoperative complications and long-term results. Results24 were dead in hospital (hospital mortality 25.2%). The majority of the causes of death were hemorrhage/DIC and intestinal necrosis. 10 cases required preoperative aortic clamp by thoracotomy or insertion of intra-aortic balloon occlusion and 8 of them died. 10 cases required open abdominal management and 5 of them died. Examining the long-term results of the open repair group and the EVAR group, there was no significant difference between the two groups. ConclusionsIn order to improve the surgical outcomes of ruptured abdominal aortic aneurysm, it is necessary to start surgery immediately in a situation where hemodynamics is stable. Whether to select open surgery or EVAR as the surgical method should be selected by each hospital so that it can be started immediately. In order to prevent postoperative intestinal necrosis, it is necessary to consider risk factors of acute compartment syndrome and actively introduce open abdominal management.

scholarly journals Resveratrol against lung injury in an ischemia/reperfusion model of abdominal aortic rupture

2021 ◽  
Vol 29 (3) ◽  
pp. 330-338
Author(s):  
Sedat Ozan Karakişi ◽  
Doğuş Hemşinli ◽  
Levent Tümkaya ◽  
Şaban Ergene ◽  
Tolga Mercantepe ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Lung Injury ◽  
Dimethyl Sulfoxide ◽  
Ischemia Reperfusion ◽  
Lung Damage ◽  
Control Group ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Abdominal Aortic ◽  
Significant Difference

Background: The aim of this study was to examine the effects on the lungs of ischemia/reperfusion injury in a ruptured abdominal aortic aneurysm model in rats and to investigate the potential protective effects of resveratrol. Methods: Thirty-two male Sprague-Dawley rats were randomly divided into four groups: control, ischemia/reperfusion, sham (ischemia/ reperfusion + solvent/dimethyl sulfoxide), and ischemia/reperfusion + resveratrol. In the groups subjected to ischemia/reperfusion, following 60-min shock to the abdominal aorta, vascular clamps were attached from the levels of the infrarenal and iliac bifurcation. A total of 60-min ischemia was applied, followed by 120-min reperfusion. In the ischemia/ reperfusion + resveratrol group, intraperitoneal 10 mg/kg resveratrol was administered 15 min before ischemia and immediately after reperfusion. Malondialdehyde, glutathione, and catalase levels were analyzed and histopathological examination of the lung tissues was performed. Results: Malondialdehyde levels increased in the ischemia/reperfusion and ischemia/reperfusion + dimethyl sulfoxide groups, compared to the control group, while catalase levels decreased, and no significant difference was observed in the glutathione levels. Malondialdehyde levels decreased with the administration of resveratrol, while glutathione levels increased, and catalase levels remained unchanged. The increased inflammation in interstitial spaces, thickening in the alveolar septal walls, increased numbers of cleaved caspase-3 apoptotic pneumocytes, and increased histopathological lung damage scores observed in the ischemia/reperfusion and ischemia/reperfusion + dimethyl sulfoxide groups improved with the application of resveratrol. Conclusion: These findings suggest that resveratrol may exhibit a protective effect in preventing acute lung injury developing due to ischemia/reperfusion in ruptured abdominal aortic aneurysm surgery by reducing oxidative damage.

scholarly journals Surgical Treatment for Ruptured Abdominal Aortic Aneurysm.

1998 ◽  
Vol 27 (1) ◽  
pp. 19-23
Author(s):  
Takahiko Sakamoto ◽  
Shigeyuki Aomi ◽  
Arifumi Takazawa ◽  
Mizuho Imamaki ◽  
Hitoshi Koyanagi ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Abdominal Aortic
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