Results of surgical treatment of ruptured abdominal aortic aneurysms (rAAA) in our own material

Introduction: Aortic aneurysm rupture is defined as bleeding beyond tunica adventitia of a dilated aortic wall. The incidence of ruptured abdominal aortic aneurysm (rAAA) varies between 5.6 and 17.5 per 100,000 inhabitants per year and seems to have decreased over the past two decades. The aim of the work was to assess the results of treatment of patients with ruptured abdominal aortic aneurysm. Material and methods: Analysis encompassed patients who had undergone surgery for ruptured abdominal aortic aneurysm between 2011 and 2017. A total of 140 patients were operated on due to ruptured abdominal aortic aneurysm. Evaluation of treatment outcomes was based on a retrospective analysis of patients' medical records, assessing the results of treatment based on the following parameters: peri- and postoperative mortality, serious peri- and postoperative complications (acute coronary syndrome, gut ischemia, renal failure, respiratory failure, lower limb ischemia). Results: Results confirm that peri-and postoperative mortality due to ruptured abdominal aortic aneurysm remain high despite continuous progress. Further development of intravascular repair techniques (EVAR) and anesthesiologic management may facilitate better treatment outcomes. However, this requires a great deal of organizational effort to ensure 24/7 availability of multi-specialist teams (vascular surgeon, anesthesiologist, radiology technician, nursing staff) capable of performing intravascular procedures. Conclusions: Surgical management of patients with ruptured abdominal aortic aneurysm continues to be associated with high mortality rates and a significant number of postoperative complications.