Document Detail

Emergency operation in patients with symptomatic abdominal aortic aneurysms.
MedLine Citation:
PMID:  3202259     Owner:  NLM     Status:  MEDLINE    
To assess the need for routine preoperative computerized tomography scanning to discern patients with rupture among those presenting with acutely symptomatic abdominal aortic aneurysms, a retrospective review was performed. During a 5-year period, all patients presenting with symptomatic aneurysm underwent emergency operation without preoperative computerized tomography. The mortality rate was not significantly different among patients with symptomatic, intact aneurysms undergoing emergency operation (3 percent) and those without symptoms having elective operation (5 percent). The mortality rate of patients with ruptured aneurysms was 68 percent. We concluded that the addition of preoperative computerized tomography to the clinical evaluation would not have improved these results. Furthermore, since it is expensive and delays emergency operation in patients with ruptured aneurysms, computerized tomography seems rarely indicated in symptomatic patients with obvious aneurysms.
R W Buss; G P Clagett; D F Fisher; R E Fry; J F Eidt; T H Humble; W J Fry
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  156     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1988 Dec 
Date Detail:
Created Date:  1989-01-18     Completed Date:  1989-01-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  470-3     Citation Subset:  AIM; IM    
Department of Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9031.
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MeSH Terms
Aorta, Abdominal
Aortic Aneurysm / diagnosis,  mortality,  surgery*
Aortic Rupture / diagnosis,  mortality,  surgery
Postoperative Complications

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