Resection of ruptured abdominal aortic aneurysms carries a high mortality rate of 58%, which is exacerbated by delayed diagnosis and preoperative complications.
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Prompt diagnosis critical to curb mortality in ruptured AAA; case report leaves open refinements for age and cardiac risks.
Mortality in 100 patients undergoing resection of ruptured atherosclerotic aneurysms of the abdominal aorta was 58%. In addition to advanced age and concurrent cardiac disease, lethal factors included preoperative hypotension, cardiac arrest, anuria, and free intra-abdominal rupture. Failure to establish the correct diagnosis until the onset of these four signs contributed to the high mortality.
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Leslie W. Ottinger (1975) studied this question.
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