Surgical Treatment for Ruptured Abdominal Aortic Aneurysms / 日本心臓血管外科学会雑誌

ABSTRACT

From May 1981 through April 1996, 19 patients with ruptured abdominal aortic aneurysm were admitted to our department. There were 18 men and 1 woman with a mean age of 69 years. Fifteen cases were in shock with a systolic blood pressure<80mmHg and 4 cases required chest compression for hypotension. One patient died of cardiac arrest on the operating table, 3 died of multiple organ failure or respiratory failure in hospital. The overall mortality rate was 21%. The mortality rate of patients under the age of 70 years was 10%, whereas that for those over 70 years of age was 33%. We believe that the use of intraoperative ileal tubing and postoperative continuous hemofiltration would improve the mortality rate in cases of ruptured abdominal aortic aneurysms.