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Ruptured Abdominal Aortic Aneurysms

Morbidity and Mortality Rates in 80 Consecutive Cases

Intensive Care Unit, Hospital General Universitari Vall d'Hebron

Mercè Planas

Intensive Care Unit, Hospital General Universitari Vall d'Hebron

Begoña Bermejo

department of Preventive Medicine, Hospital General Universitari Vall d'Hebron

Joaquim Serra

Intensive Care Unit, Hospital General Universitari Vall d'Hebron

Isabel Porta

Intensive Care Unit, Hospital General Universitari Vall d'Hebron

Rafael Sobregrau

Surgical Vascular Unit, Hospital General Universitari Vall d'Hebron, Barcelona, Spain

Francisco J. de Latorre

Intensive Care Unit, Hospital General Universitari Vall d'Hebron

A study of 80 patients with ruptured aortic aneurysms admitted over an eight-year period to the Intensive Care Unit of the authors' hospital was undertaken.

All the information was introduced to a data base and processed for statistical treatment by use of a software program.

Most patients admitted to the emergency room presented diffuse or localized abdominal pain. An abdominal mass was present in 40% of the cases. Hypotension was usually present with shock in 20% of the patients. The diagnosis was confirmed essen tially by computerized axial tomography. In 27% of the patients, operation was under taken based on clinical grounds only. Sixty-seven percent of the patients showed one or more complications. Acute renal failure (51%), sepsis (31%), acute respiratory insuffi ciency (20%), mesenteric ischemia (13%), coagulopathy (11%), and neurologic compli cations (11%) were the most often encountered. The mortality rate was 42.5%; shock was the most common cause of death, and mesenteric ischemia was the second.

Vascular and Endovascular Surgery, Vol. 28, No. 7, 459-466 (1994)
DOI: 10.1177/153857449402800703


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