Surgical Treatment for Ruptured Abdominal Aortic Aneurysm（ Report of 20 Cases）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Sailimu ¹ , JIANG Xiaokui ² , GE Xiaohu. ¹

1. Department of Vascular Surgery, The People’s Hospital of Xinjiang Uigur Autonomous Region, Urumqi 830000, Xinjiang, China;;
2. Department of General Surgery, The Third Hospital of Xinxiang Medical University, Xinxiang 453003, Henan Province, China;

Corresponding author：

Keywords：

Abdominal aortic aneurysm; Surgical treatment

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Objective 　To explore the diagnosis and treatment for ruptured abdominal aortic aneurysm （RAAA）.
Methods 　The clinical data of 20 patients with RAAA from January 2000 to December 2010 were analyzed retrospectively．
Results 　There were 18 males and 2 females．The age was 31-82 years with an average 65.4 years．All the patients were abdominal pain and （or） back pain．Eleven cases had low blood pressure or shock．Seven cases had a history of abdominal aortic aneurysm．All the cases were accurately diagnosed by CTA，Doppler ultrasonography or operation．Nineteen cases were treated by conventional operation，1 by endovascular aortic repair．Survival of 16 cases recovered smoothly. Perioperative death occurred in 4 cases，mortality rate was 20% in 20 patients with RAAA．The causes of death included circulatory failure in 1 case and multiple organ dysfunction syndrome in 3 cases．
Conclusions 　Surgery treatment is an effective treatment for RAAA．Early diagnosis and urgent surgical repair are crucial to reduce the mortality of RAAA．

Citation： Sailimu,JIANG Xiaokui,GE Xiaohu.. Surgical Treatment for Ruptured Abdominal Aortic Aneurysm（ Report of 20 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(5): 534-537. doi: Copy

1.	赵纪春, 汪静, 金立人, 等. 腹主动脉瘤60 例的诊治经验 [J]. 中华普通外科杂志, 2003, 18(9)：571.
2.	Bown MJ, Sutton AJ, Bell PR, et al. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair [J]. Br J Surg,2002, 89(6)：714-730.
3.	Eliason JL, Upchurch GR Jr. Endovascular abdominal aortic aneurysm repair [J]. Circulation, 2008, 117(13)：1738-1744.
4.	孙海军, 刘冰, 薛冬波, 等. 腹主动脉瘤破裂的临床分析( 附6 例报告) [J]. 中国普外基础与临床杂志, 2007, 14(2)：213-214.
5.	刘仁贵, 赵纪春, 黄斌. 破裂腹主动脉瘤的外科治疗及预后 [J]. 中国普外基础与临床杂志, 2007, 14(3)：316-319.
6.	Noel AA, Gloviczki P, Cherry KJ Jr, et al. Ruptured abdominal aortic aneurysms：the excessive mortality rate of conventional repair [J]. J Vasc Surg, 2001, 34(1)：41-46.
7.	叶财盛, 李松奇, 李晓曦, 等. 腹主动脉瘤破裂的处理及预后分析 [J]. 中华普通外科杂志, 2007, 22(5)：338-340.
8.	Frego M, Bianchera G, Angriman I, et al. Ruptured aneurysms of the abdominal aorta：from the First Aid to the Operating Room.Changing concepts [J]. Ann Ital Chir, 2007, 78(4)：277-281.
9.	宋扬, 沈洪, 刘全达. 国内原发性主动脉消化道瘘14 例临床分析 [J]. 中国急救医学, 2005, 25(4)：299-301.
10.	Saers SJ, Scheltinga MR. Primary aortoenteric fistula [J]. Br J Surg, 2005, 92(2)：143-152.
11.	Lawlor DK, Derose G, Harris KA, et al. Primary aorto/iliac-enteric fistula-report of 6 new cases [J]. Vasc Endovascular Surg,2004, 38(3)：281-286.
12.	李雪松, 赛里木, 戈小虎. 原发性主动脉消化道瘘的诊断和治疗(1 例报道并文献复习) [J]. 中国普外基础与临床杂志,2009, 16(12)：1033-1034.
13.	Büket S, Atay Y, Islamo?lu F, et al. Proximal clamping levels in abdominal aortic aneurysm surgery [J]. Tex Heart Inst J, 1999,26(4)：264-268.
14.	舒畅, 宫毅, 李全明, 等. 球囊导尿管在腹主动脉瘤破裂手术救治中的应用 [J]. 中华普通外科杂志, 2007, 22(5)：391-392.
15.	Yusuf SW, Whitaker SC, Chuter TA, et al. Emergency endovascular repair of leaking aortic aneurysm [J]. Lancet, 1994,344(8937)：1645.
16.	O’Donnell ME, Badger SA, Makar RR, et al. Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms [J]. J Vasc Surg, 2006, 44(1)：211-215.
17.	Ohki T, Veith FJ. Endovascular grafts and other image-guided catheter-based adjuncts to improve the treatment of ruptured aortoiliac aneurysms [J]. Ann Surg, 2000, 232(4)：466-479.
18.	Azizzadeh A, Villa MA, Miller CC 3rd, et al. Endovascular repair of ruptured abdominal aortic aneurysms：systematic literature review [J]. Vascular, 2008, 16(4)：219-224.
19.	Visser JJ, Bosch JL, Hunink MG, et al. Endovascular repair versus open surgery in patients with ruptured abdominal aortic aneurysms：clinical outcomes with 1-year follow-up [J]. J Vasc Surg,2006, 44(6)：1148-1155.

1. 赵纪春, 汪静, 金立人, 等. 腹主动脉瘤60 例的诊治经验 [J]. 中华普通外科杂志, 2003, 18(9)：571.
2. Bown MJ, Sutton AJ, Bell PR, et al. A meta-analysis of 50 years of ruptured abdominal aortic aneurysm repair [J]. Br J Surg,2002, 89(6)：714-730.
3. Eliason JL, Upchurch GR Jr. Endovascular abdominal aortic aneurysm repair [J]. Circulation, 2008, 117(13)：1738-1744.
4. 孙海军, 刘冰, 薛冬波, 等. 腹主动脉瘤破裂的临床分析( 附6 例报告) [J]. 中国普外基础与临床杂志, 2007, 14(2)：213-214.
5. 刘仁贵, 赵纪春, 黄斌. 破裂腹主动脉瘤的外科治疗及预后 [J]. 中国普外基础与临床杂志, 2007, 14(3)：316-319.
6. Noel AA, Gloviczki P, Cherry KJ Jr, et al. Ruptured abdominal aortic aneurysms：the excessive mortality rate of conventional repair [J]. J Vasc Surg, 2001, 34(1)：41-46.
7. 叶财盛, 李松奇, 李晓曦, 等. 腹主动脉瘤破裂的处理及预后分析 [J]. 中华普通外科杂志, 2007, 22(5)：338-340.
8. Frego M, Bianchera G, Angriman I, et al. Ruptured aneurysms of the abdominal aorta：from the First Aid to the Operating Room.Changing concepts [J]. Ann Ital Chir, 2007, 78(4)：277-281.
9. 宋扬, 沈洪, 刘全达. 国内原发性主动脉消化道瘘14 例临床分析 [J]. 中国急救医学, 2005, 25(4)：299-301.
10. Saers SJ, Scheltinga MR. Primary aortoenteric fistula [J]. Br J Surg, 2005, 92(2)：143-152.
11. Lawlor DK, Derose G, Harris KA, et al. Primary aorto/iliac-enteric fistula-report of 6 new cases [J]. Vasc Endovascular Surg,2004, 38(3)：281-286.
12. 李雪松, 赛里木, 戈小虎. 原发性主动脉消化道瘘的诊断和治疗(1 例报道并文献复习) [J]. 中国普外基础与临床杂志,2009, 16(12)：1033-1034.
13. Büket S, Atay Y, Islamo?lu F, et al. Proximal clamping levels in abdominal aortic aneurysm surgery [J]. Tex Heart Inst J, 1999,26(4)：264-268.
14. 舒畅, 宫毅, 李全明, 等. 球囊导尿管在腹主动脉瘤破裂手术救治中的应用 [J]. 中华普通外科杂志, 2007, 22(5)：391-392.
15. Yusuf SW, Whitaker SC, Chuter TA, et al. Emergency endovascular repair of leaking aortic aneurysm [J]. Lancet, 1994,344(8937)：1645.
16. O’Donnell ME, Badger SA, Makar RR, et al. Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms [J]. J Vasc Surg, 2006, 44(1)：211-215.
17. Ohki T, Veith FJ. Endovascular grafts and other image-guided catheter-based adjuncts to improve the treatment of ruptured aortoiliac aneurysms [J]. Ann Surg, 2000, 232(4)：466-479.
18. Azizzadeh A, Villa MA, Miller CC 3rd, et al. Endovascular repair of ruptured abdominal aortic aneurysms：systematic literature review [J]. Vascular, 2008, 16(4)：219-224.
19. Visser JJ, Bosch JL, Hunink MG, et al. Endovascular repair versus open surgery in patients with ruptured abdominal aortic aneurysms：clinical outcomes with 1-year follow-up [J]. J Vasc Surg,2006, 44(6)：1148-1155.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Surgical Treatment for Ruptured Abdominal Aortic Aneurysm（ Report of 20 Cases）

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