Abstract
Between January 1980 and April 1985, twenty-six patients with abdominal aortic aneurysm (AAA) were treated at Gunma University Hospital. Eight patients with ruptured AAA (mean age: 61 years) were all male. Six patients underwent radical operations, and all of them survived. Four patients exhibited special types of rupure as follows: 1) an aorto-caval fistula, 2) a ruptured AAA with obstructed common iliac arteries, 3) a dissecting AAA, and 4) a cystic aneurysm ruptured into the retroperitoneal cavity. Two patients who could not undergo radical operation died one day and two months, respectively, after the rupture. The operative mortality of ruptured AAA is higher than that of non-ruptured AAA, especially in cases under shock. However, the long-term survival rate of ruptured AAA undergoing radical operation is almost the same as that of non-ruptured AAA. Therefore, a positive policy should be taken in the treatment of ruptured AAA.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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