[Ruptured aneurysms of the abdominal aorta: from the First Aid to the Operating Room. Changing concepts].
Worldwide literature review from PubMed indicate that progress has been made in first aid assistance, diagnosis and treatment of ruptured abdominal aortic aneurysms, which led to a reduced operative mortality. Nevertheless, ruptured aneurysms may present atipically in about half of the cases, thus leading to an initially uncorrect diagnosis up to 25% of cases. Mean survival interval from onset of symptoms and death is 10-14 hours, thus indicating that time exists to consider the new imaging techniques in 80% of patients, particularly the TC multislice. This, when is strategically located close to the emergency or the operative room, can rapidly allow a correct diagnosis and provide an accurate morphological evaluation, thus enabling the surgeon to plan the most adequate treatment with open or endovascular repair.
Frego
Mauro
M
Clinica Chirurgica I, Università degli Studi di Padova. mauro.frego@unipd.it
Bianchera
Giorgio
G
Angriman
Imerio
I
Norberto
Lorenzo
L
Pilon
Fabio
F
Polese
Lino
L
Scarpa
Marco
M
Ruffolo
Cesare
C
Corso
Stefano
S
De Zolt
Patrizia
P
D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male