Emergent or elective operation for symptomatic abdominal aortic aneurysm

Autor: Jack B. Peacock, George Johnson, H. J. Proctor, Noel B. McDevitt, Stanley R. Mandel
Rok vydání: 1980
Předmět:
Zdroj: Archives of surgery (Chicago, Ill. : 1960). 115(1)
ISSN: 0004-0010
Popis: • The patient with the symptomatic abdominal aortic aneurysm (AAA) presents a management dilemma, ie, emergent, urgent, or elective operation. The mortality for 38 patients with a ruptured AAA prior to 1972 was 61%. That year, a policy of immediate operation was instituted for patients with symptoms that might be referable to a ruptured AAA. It is concluded that an immediate operation on the patient with a symptomatic but intact AAA resulted in an excessively high mortality. Thus, the indications for an immediate operation on these patients should be based on clinical judgment; attempting to differentiate between the patient with the ruptured and the patient with the intact aneurysm. Hemodynamic data (blood pressure or hematocrit reading) suggesting a decrease in blood volume dictate an immediate operation. An urgent operation on the well-prepared patient should be performed on all patients with a symptomatic aneurysm in which the clinical and hemodynamic findings do not suggest that it has ruptured. (Arch Surg115:51-53, 1980)
Databáze: OpenAIRE