Management of Ruptured Abdominal Aortic Aneurysm Rachim Sobarna SpB SpBTKV Hasan Sadikin Hospital, Bandung

An abdominal aortic aneurysm (AAA) is a permanent localized dilatation which most commonly affects the infrarenal segment of the abdominal aorta. Rupture is the most common and fatal complication of AAA, is an acute vascular emergency that requires an immediate life-saving operation which has a high mortality rate. Approximately 30-50% of patients with ruptured AAA die before they reach the hospital, and 30-40% of those who reach the hospital alive, die without surgical intervention (Benqtsson and Berqqvist, 2003) With major advances in surgical expertise and anesthesia over the past 20 years, the mortality for elective repair of AAA has gradually decrease to approximately 4%, however the mortality for ruptured aneurysms has no changed significantly and continous to be 40-70%. Infact, the true mortality for ruptured aneurysm is much closer to 80% to 90% if deaths occurring before patients reach the hospital are included. Because most patients with AAA are asymptomatic until the aneurysm ruptures and because of the almost unparalled emergency nature of rupture AAA, rapid diagnosis and prompt surgical treatment of this emergency is essential.