Result of surgical management for ruptured infra-renal abdominal aortic aneurysm at Viet Duc University Hospital

Nguyen Huu Uoc, Nguyen Cong Huy, Duong Ngoc Thang, Nguyen Hung Manh, Phung Duy Hong Son

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Abstract

Introduction: Ruptured abdominal aortic aneurysm (AAA) is the most common but several complication with a very high mortality rate in the aortic disease group, however no separate studies with large numbers have been reported in Vietnam on this group of diseases. Method: Retrospective descriptive study of all patients with confirmed diagnosis of ruptured infra-renal AAA who were treated surgically at Viet Duc University Hospital from January 2015 to May 2021. Results: A total of 60 patients underwent surgery, mean age 67.5 ± 11.12 years; time from symptom onset to hospital admission 13.3 ± 11.72 hours; 95% of patients who had abdominal pain; 90% were found to have a pulsatile mass. The fusil form accounted for 90%, with average diameter was 66.8 ± 16.13 mm, 86.7% of the patients underwent abdominal aortic replacement using an aorto biiliac graft with an average surgical time of 219.3 ± 60.49 minutes. Early mortality rate is 13.3%, total mortality rate is 28.3%. Conclusion: it is necessary to management and treat early for cases with detected AAA in order to limit complications with high mortality rate.

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References

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