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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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REVIEWS  THE MANAGEMENT OF RUPTURED ABDOMINAL AORTIC ANEURYSMS


The Journal of Cardiovascular Surgery 2014 April;55(2):179-92

language: English

How to diagnose and treat abdominal compartment syndrome after endovascular and open repair of ruptured abdominal aortic aneurysms

Mayer D. 1, Rancic Z. 1, Veith F. J. 2, 3, Pecoraro F. 4, Pfammatter T. 5, Lachat M. 1

1 Clinic for Cardiovascular Surgery University Hospital of Zurich, Zurich, Switzerland;
2 The Cleveland Clinic and New York University Medical Center, New York, NY, USA;
3 University Hospital of Zurich, Zurich, Switzerland;
4 Vascular Surgery Unit “P. Giaccone” University Hospital, Palermo, Italy;
5 Department of Interventional Radiology University Hospital of Zurich, Zurich, Switzerland


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Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are frequently encountered in patients treated for ruptured abdominal aortic aneurysms (rAAA) and carry a high morbidity and mortality risk. Despite these facts, IAH/ACS are still overlooked by many physicians, timely diagnosis is missed and treatment often inadequate. All staff involved in the treatment of rAAA should be aware of the risk factors predicting IAH/ACS, the profound implications and derangements on all organ systems, the clinical presentation, the appropriate measurement of intra-abdominal pressure to detect IAH/ACS and the current treatment options for these detrimental syndromes. This comprehensive review provides contemporary knowledge that should help to improve patient survival and long-term outcome.

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dieter.mayer@usz.ch