caa a22 4500 475752414 CHVBK 20180406123528.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s005950070059 doi (NATIONALLICENCE)springer-10.1007/s005950070059 Prognostic Factors in the Surgical Treatment of Ruptured Abdominal Aortic Aneurysms [Elektronische Daten] [Nobuo Hatori, Hiroshi Yoshizu, Masafumi Shimizu, Kazuhiro Hinokiyama, Shigeto Takeshima, Tamizo Kimura, Yasuhiro Iizuka, Susumu Tanaka] Although the operative mortality following elective aneurysmectomy has achieved satisfactory results, that following surgery for ruptured abdominal aortic aneurysms (AAAs) remains high. The purpose of this study was to identify the factors affecting the mortality rate associated with the treatment of ruptured AAAs. Between 1978 and 1999, 33 patients underwent emergency surgery for a ruptured AAA. The operative mortality was 33.3% and in-hospital mortality was 6.0%. Hypotension, defined as a systolic blood pressure <80 mmHg, was seen in 19 patients at the time of presentation, 9 of whom underwent surgery in this state. In the remaining 10 patients, it was possible to increase the systolic blood pressure to ≥80 mmHg preoperatively. Of the 11 patients who died within 30 days of surgery, 9 had hypotension at the time of induction of anesthesia and only 2 had a systolic blood pressure of ≥80 mmHg. A satisfactory outcome was achieved in patients whose condition met the following criteria: a systolic blood pressure ≥80 mmHg at the time of operation, minimal aortic cross-clamping time, less blood loss and blood transfusions, and a shorter operation time to repair the ruptured AAA. Concomitant heart disease was also found to be an important prognostic factor. Springer-Verlag, 2000 Key Words Ruptured abdominal aortic aneurysm nationallicence Hypotension nationallicence Surgical outcome nationallicence Hatori Nobuo Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Yoshizu Hiroshi Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Shimizu Masafumi Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Hinokiyama Kazuhiro Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Takeshima Shigeto Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Kimura Tamizo Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Iizuka Yasuhiro Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Tanaka Susumu Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut https://doi.org/10.1007/s005950070059 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070059 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hatori Nobuo Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Yoshizu Hiroshi Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Shimizu Masafumi Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Hinokiyama Kazuhiro Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Takeshima Shigeto Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Kimura Tamizo Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Iizuka Yasuhiro Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut NATIONALLICENCE 700 1- Tanaka Susumu Department of Surgery II, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer