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Ruptured Abdominal Aortic Aneurysm (rAAA)

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Textbook of Emergency General Surgery

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Abstract

Ruptured abdominal aortic aneurysm (rAAA) is immediately life-threating and carries an extremely high mortality risk. It mostly involves elderly patients, and, even if surgery is performed within a very short time, mortality and morbidity are very high. The introduction of endovascular aortic repair (EVAR) indicates a paradigm shift in the treatment of rAAA, and it is now recommended, where possible, in major vascular guidelines. EVAR for rAAA treatment is the first-line recommendation within Endovascular Resuscitation and Trauma Management (EVTM). Upon diagnosis, acute open or endovascular surgery by a highly experienced team should be conducted, with the preferred method depending on center experience, anatomical considerations, comorbidities, and age of the patient. Peri- and postoperative intensive care treatment is of the utmost importance for successful recovery. This chapter will provide an up-to-date summary of the diagnoses and treatment possibilities for ruptured abdominal aortic aneurysm. It aims to give current general information and background for diagnosis and treatment of rAAA as used worldwide.

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Author information

Authors and Affiliations

  1. Vascular Unit, Department of Cardiothoracic and Vascular Surgery and Department of General Surgery, Faculty of Life Science, Örebro University Hospital and University, Örebro, Sweden

    Tal M. Hörer

  2. Visiting Professor and Attending Vascular Surgeon at the Carmel Hospital, Technion Institute Medical Faculty, Haifa, Israel

    Tal M. Hörer

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  1. Tal M. Hörer
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Correspondence to Tal M. Hörer .

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Editors and Affiliations

  1. General, Emergency and Trauma Surgery Dept., Pisa University Hospital, Pisa, Italy

    Federico Coccolini

  2. General and Emergency Surgery Dept., Bufalini Hospital, Cesena, Italy

    Fausto Catena

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Hörer, T.M. (2023). Ruptured Abdominal Aortic Aneurysm (rAAA). In: Coccolini, F., Catena, F. (eds) Textbook of Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-22599-4_103

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  • DOI: https://doi.org/10.1007/978-3-031-22599-4_103

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-22598-7

  • Online ISBN: 978-3-031-22599-4

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