破裂性腹部大動脈瘤の治療

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  • SURGERY OF RUPTURED ABDOMINAL AORTIC ANEURYSM

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Between January 1980 and April 1985, twenty-six patients with abdominal aortic aneurysm (AAA) were treated at Gunma University Hospital. Eight patients with ruptured AAA (mean age: 61 years) were all male.<br> Six patients underwent radical operations, and all of them survived. Four patients exhibited special types of rupure as follows: 1) an aorto-caval fistula, 2) a ruptured AAA with obstructed common iliac arteries, 3) a dissecting AAA, and 4) a cystic aneurysm ruptured into the retroperitoneal cavity.<br> Two patients who could not undergo radical operation died one day and two months, respectively, after the rupture.<br> The operative mortality of ruptured AAA is higher than that of non-ruptured AAA, especially in cases under shock.<br> However, the long-term survival rate of ruptured AAA undergoing radical operation is almost the same as that of non-ruptured AAA. Therefore, a positive policy should be taken in the treatment of ruptured AAA.

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