Aneurismi dell’aorta addominale in rottura: dal Pronto Soccorso alla sala operatoria


Mauro Frego, Giorgio Bianchera, Imerio Angriman, Lorenzo Norberto, Fabio Pilon, Lino Polese, Marco Scarpa, Cesare Ruffolo, Stefano Corso, Patrizia De Zolt

Ann. Ital. Chir., 2007; 78: 277-281

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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.