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  • Title: [Ruptured aneurysms of the abdominal aorta: from the First Aid to the Operating Room. Changing concepts].
    Author: Frego M, Bianchera G, Angriman I, Norberto L, Pilon F, Polese L, Scarpa M, Ruffolo C, Corso S, De Zolt P.
    Journal: Ann Ital Chir; 2007; 78(4):277-81. PubMed ID: 17990601.
    Abstract:
    Worldwide literature review from PubMed indicate that progress has been made in first aid assistance, diagnosis and treatment of ruptured abdominal aortic aneurysms, which led to a reduced operative mortality. Nevertheless, ruptured aneurysms may present atipically in about half of the cases, thus leading to an initially uncorrect diagnosis up to 25% of cases. Mean survival interval from onset of symptoms and death is 10-14 hours, thus indicating that time exists to consider the new imaging techniques in 80% of patients, particularly the TC multislice. This, when is strategically located close to the emergency or the operative room, can rapidly allow a correct diagnosis and provide an accurate morphological evaluation, thus enabling the surgeon to plan the most adequate treatment with open or endovascular repair.
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