Key result
Surgical treatment for ruptured abdominal aortic aneurysms carries a poor prognosis due to advanced age, comorbidities, and the high risk of postoperative acute renal failure.
Patients with ruptured abdominal aortic aneurysms have a poor prognosis, especially if presenting with severe preoperative shock, and survivors face a high risk of acute renal failure.
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Emphasizes high perioperative mortality risk in ruptured AAA surgery; leaves open strategies to mitigate postoperative renal failure.
As a group, patients with ruptured abdominal aortic aneurysms are poor candidates for the only treatment offering a chance to survive the catastrophe. Generally they are old and have significant vascular disease along with other serious medical problems. For those who survive operation, acute renal failure poses the greatest threat to life. The outlook is especially dim if preoperative shock is severe.
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David et al. (1971) conducted a review in Ruptured abdominal aortic aneurysm. Surgical treatment for ruptured abdominal aortic aneurysms carries a poor prognosis due to advanced age, comorbidities, and the high risk of postoperative acute renal failure.
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