title: How to diagnose and treat abdominal compartment syndrome after endovascular and open repair of ruptured abdominal aortic aneurysms.
abstract: Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are frequently encountered in patients treated for ruptured abdominal aortic aneurysms (rAAA) and carry a high morbidity and mortality risk. Despite these facts, IAH/ACS are still overlooked by many physicians, timely diagnosis is missed and treatment often inadequate. All staff involved in the treatment of rAAA should be aware of the risk factors predicting IAH/ACS, the profound implications and derangements on all organ systems, the clinical presentation, the appropriate measurement of intra-abdominal pressure to detect IAH/ACS and the current treatment options for these detrimental syndromes. This comprehensive review provides contemporary knowledge that should help to improve patient survival and long-term outcome.
authors.affiliation: Clinic for Cardiovascular Surgery University Hospital of Zurich, Zurich, Switzerland - dieter.mayer@usz.ch.
authors.forename: D
authors.initials: D
authors.lastname: Mayer
authors.forename: Z
authors.initials: Z
authors.lastname: Rancic
authors.forename: F J
authors.initials: FJ
authors.lastname: Veith
authors.forename: F
authors.initials: F
authors.lastname: Pecoraro
authors.forename: T
authors.initials: T
authors.lastname: Pfammatter
authors.forename: M
authors.initials: M
authors.lastname: Lachat
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000401:mortality; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000401:mortality; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D011237:Predictive Value of Tests; D012086:Reoperation; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome