Ruptured abdominal aortic aneurysm.
Treatment of abdominal aortic aneurysms should be aggressive because less than 50% of untreated patients will be alive 3 years after diagnosis and most will die from ruptured aneurysm. In an effort to reduce the incidence of rupture, all abdominal aortic aneurysms should be excised unless the patient has a short life expectancy or very serious medical problems. In a series of 36 patients with ruptured abdominal aortic aneurysm the mortality was 42%. The main risk factors were blood loss, acute renal failure and major venous trauma. Multiple organ failure, which occurred in 8 of 15 patients often presents a therapeutic dilemma and worsens the prognosis.
D058186:Acute Kidney Injury / Q000150:complications; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000401:mortality / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012306:Risk