Akademik Veri Yönetim Sistemi
Bozok Tıp Dergisi, cilt.11, sa.4, ss.22-28, 2021 (Hakemli Dergi)
Objective: Early diagnosis and treatment are of great importance in the prognosis of abdominal aortic
aneurysms (AAA). In this study, we aimed to discuss 44 patients who underwent surgical treatment for
ruptured AAA(rAAA) in our clinic.
Material and Methods: Forty-four patients who underwent emergency surgery for rAAA in our clinic between
January 2000-December 2020 (last twenty years) were evaluated retrospectively. Subgroup examinations
were made according to the distance and time passed until they reached our hospital.
Results: The mean age of 44 patients was 64.61±12.13 years. 34 of the patients are male. The first application
place of 29 patients is other centers. Accompanying risk factors are hypertension (72.72%), hyperlipidemia
(61.36%), smoking (52.27%), coronary artery disease (47.72%), chronic obstructive pulmonary disease
(34.09%), diabetes (34.09%) and elevated creatinine levels (acute renal failure-over 2mg / dl) - (20.45%). 19
patients were lost. Two of these 19 patients died during the operation and the others during their follow-up
in the intensive care unit (10 ± 10.86 days). The mortality rate in rAAA, which is operated under emergency
conditions, is 43.18%. However, as our hospital also serves as a regional hospital, 15 of the 29 patients
(51.72%) who were transferred form surrounding provinces were lost, while 4 of the 15 patients (26.6%)
who applied from the same province.
Conclusion: When rAAA are operated as soon as possible, there is a significant decrease in mortality rates.
For this reason, the success of the physician who first evaluated the patient in diagnosing and quickly
transporting the patient to the center where the surgery will be performed will be life-saving.
Keywords: Ruptured Aneurysm; Timing; Abdominal Aortic Aneurysm