title: [Ruptured aneurysms of the abdominal aorta: from the First Aid to the Operating Room. Changing concepts].
abstract: 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.
authors.affiliation: Clinica Chirurgica I, Università degli Studi di Padova. mauro.frego@unipd.it
authors.forename: Mauro
authors.initials: M
authors.lastname: Frego
authors.forename: Giorgio
authors.initials: G
authors.lastname: Bianchera
authors.forename: Imerio
authors.initials: I
authors.lastname: Angriman
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Norberto
authors.forename: Fabio
authors.initials: F
authors.lastname: Pilon
authors.forename: Lino
authors.initials: L
authors.lastname: Polese
authors.forename: Marco
authors.initials: M
authors.lastname: Scarpa
authors.forename: Cesare
authors.initials: C
authors.lastname: Ruffolo
authors.forename: Stefano
authors.initials: S
authors.lastname: Corso
authors.forename: Patrizia
authors.initials: P
authors.lastname: De Zolt
mesh_terms: 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