SURGICAL TREATMENT OF RUPTURED AORTICANEURYSM

During 6 years between January 1981 and December 1986, 31 patients with ruptured aortic aneurysm, in which 13 had thoracic aneurysms and 18 had abdominal aneurysms, were operated in our institution. Operative mortarity rate were 15.4% in the thoracic and 27.8% in the abdominal cases. A possible correlation between operative results and pre- and perioperative volume of blood transfusion was indicated. To improve the results, an appropriate maintenance of blood pressure and rapid treatment from the onset of the disease to the operation might be needed. But especially for thoracic and thoraco-abdominal aneurysms, a diagnosing the lesion and grasping the state of the main branch appeared important, and for this CT and DSA were of value. Aneusysm should be operated in earlier stage as far as general condition of a patient could permit.