title: [Ruptured abdominal aortic aneurysm: long-term survival].
abstract: Despite technological improvement, surgery for ruptured aortic abdominal aneurysm (AAA) only gets about 50% of patients to survive past the operative period. This series addresses the long-term outcome of those survivors. Eighty consecutive patients operated on for ruptured AAA between January 1983 and June 1990 at l'hôpital du Saint-Sacrement by three vascular surgeons, were studied and compared to 279 patients submitted to elective aneurysm surgery during the same period. The operative mortalities were respectively of 45% (ruptured) and 6.1% (elective). Five year survivals added up to 30 and 68%. When the 5 year survivals were recalculated, including only patients who were discharged from hospital, we found no statistically significant difference (p greater than 0.05) between the ruptured (55%) and the elective groups (68%). Data from this series demonstrate that long-term survival of patients undergoing ruptured AAA surgery is good and compares with that of AAA elective surgery. Therefore, aggressive treatment of ruptured AAA remains justified.
authors.affiliation: Service de Chirurgie Générale, Hôpital du Saint-Sacrement, Québec, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Gosselin
authors.forename: R
authors.initials: R
authors.lastname: Labbé
authors.forename: Y
authors.initials: Y
authors.lastname: Douville
authors.forename: H P
authors.initials: HP
authors.lastname: Noël
mesh_terms: D000206:Actuarial Analysis; D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000503:physiopathology / Q000601:surgery; D001014:Aortic Aneurysm / Q000401:mortality* / Q000601:surgery; D001019:Aortic Rupture / Q000401:mortality* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications
vernacular_title: Anéurysmes de l'aorte abdominale rompus: survie à long terme.