J Korean Surg Soc.  1997 May;52(5):745-750.

Clinical Analysis of Abdominal Aortic Aneurysm

• Kim KH
• Bae MO
• Chung SY
• Kim SK

Abstract

Thirthy-eighthy cases of abdominal aortic aneurysm(AAA) were surgically treated between January 1991 and December 1995 at the Dept. of Surgery, Chonnam University Hospital. Patients were divided into 20 elective cases and 18 emergency cases and analysed on the basis of sex, age, chief complaints, associated diseases, size of aneurysm, operating time, mortality and cause of death. The initial presentation was usually abdominal or back pain in elective cases, but palpable mass and abdominal distension in emergency cases were ruptured. There was no positive relationship between the size of AAA and the incidency of the rupture. There were no deaths in elective cases, but 12 ruptured AAAs died in 18 emergency cases(66.7%). Overall surgical mortality was 31.3%. The causes of death were postoperative bleeding(5), acute renal failure(3), myocardial infarction(3), and sepsis(1). For AAAs, surgical intervention is recommended and operation must be performed before rupture regardless of the size.

Keyword

Abdomianl aortic aneurysm

MeSH Terms

Aneurysm
Aortic Aneurysm, Abdominal*
Back Pain
Cause of Death
Emergencies
Humans
Jeollanam-do
Mortality
Rupture