title: [Open treatment of abdominal compartment syndrome after contained aortic aneurysm rupture].
abstract: For the first time in Hungary, a patient with abdominal compartment syndrome after contained aortic aneurysm rupture was treated successfully implementing open abdomen treatment with vacuum-assisted wound closure (V.A.C.) and delayed abdominal wall closure with mesh.
  
  
  METHODS
  Contained aortic aneurysm rupture was diagnosed by CT angiography in a 59-year-old patient. After the acute reconstruction of the ruptured aorta (by an open procedure with aorto-aortic Dacron interposition) during the closure of the abdominal cavity the patient could not be effectively ventilated due to high intra-abdominal pressure caused by the severe oedema of the abdominal wall and the hematoma in the retroperitoneal space. In this situation, we decided upon open abdominal treatment using V.A.C. After regular changes of V.A.C. the abdomen was closed with DualMesh and three weeks later the patient was discharged home in good condition.
  
  
  CONCLUSIONS
  In our case, abdominal closure was not implemented after the reconstruction of the ruptured aortic aneurysm due to the extensive oedema. The complications of abdominal compartment syndrome were prevented with the open treatment. Based on our experience and on the results of the international literature we highly recommend open abdominal treatment with V.A.C. in case of abdominal compartment syndrome.
authors.affiliation: Semmelweis Egyetem Érsebészeti Tanszék 1124 Budapest Városmajor u. 68.
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Mihály
authors.affiliation: Semmelweis Egyetem Aneszteziológiai és Intenzív Terápiás Klinika Budapest.
authors.forename: Kristóf
authors.initials: K
authors.lastname: Perczel
authors.affiliation: Semmelweis Egyetem Aneszteziológiai és Intenzív Terápiás Klinika Budapest.
authors.forename: Gergely
authors.initials: G
authors.lastname: Csikós
authors.affiliation: Semmelweis Egyetem Érsebészeti Tanszék 1124 Budapest Városmajor u. 68.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
mesh_terms: D001019:Aortic Rupture / Q000150:complications* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000209:etiology*; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D011093:Polyethylene Terephthalates; D013526:Surgical Mesh; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates
keywords: V.A.C. treatment; VAC-kezelés; abdominal compartment syndrome; contained abdominal aortic aneurysm rupture; fedett aneurysmaruptura; hasi compartmentsyndroma; intra-abdominal pressure measurement; intraabdominalis nyomásmérés