Abdominal aortic aneurysm natural history
Abdominal Aortic Aneurysm Microchapters |
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Overview
An aortic aneurysm can progress to a ruptured abdominal aortic aneurysm, which is a medical emergency with less that 40% of patients surviving. Serious complications can occur due to an aortic dissection, which include: myocardial infarction, shock, stroke, kidney failure, and arterial emboli.
Complications
When an abdominal aortic aneurysm ruptures, it is a true medical emergency. Aortic dissection occurs when the innermost lining of the artery tears and blood leaks into the wall of the artery. This most commonly occurs in the aorta within the chest. Complications include:
Prognosis
Elective Surgery in the Absence of Abdominal Aortic Aneurysm Rupture
The outcome is usually good if an experienced surgeon repairs the aneurysm before it ruptures.
Emergency Surgery in the Setting of Abdominal Aortic Aneurysm Rupture
Rupture of an abdominal aortic aneurysm is associated with a 60% to 90% mortality before the patient reaches hospital. It is associated with a 30% to 80% operative mortality among those patients who survive long enough to undergo surgery.