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.
A Case of Successful Surgical Treatment for Ruptured Abdominal Aortic Aneurysm Due to Bacterial Infection.
