Experience on surgical management of rupture of abdominal aortic aneurysm.
OBJECTIVE
To describe our surgical experience on rupture of abdominal aortic aneurysm.


METHODS
Two cases of ruptured aortic aneurysms with severe complication were analysed. Aorta reconstruction procedures were performed using bifurcated e-PTFE grafts during emergency operation. Diagnosis, preoperative resuscitation, emergency surgical intervention, and postoperative complications of these patients were summarized and discussed.


RESULTS
Rupture of aortic aneurysm in both patients presented as a huge retroperitoneum haematoma by computed tomography scan. They were successfully saved by prompt body fluid compensation, emergency procedure, intraoperative resuscitation, and postoperative intensive care.


CONCLUSIONS
Correct diagnosis, prompt surgical management, immediate intraoperative proximal aorta clamping during procedure, and effective management of postoperative complications were the key points to successful treatment of ruptured aortic aneurysm.
Heng
Guan
G
Department of Vascular Surgery, PUMC hospital, CAMS & PUMC, Beijing 100730.
Yuehong
Zheng
Z
Yongjun
Li
L
Changwei
Liu
L
Bao
Liu
L
Wei
Ye
Y
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy