Abdominal compartment syndrome following open and endovascular repair of ruptured abdominal aortic aneurysm

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dc.contributor.authorKızıloğlu, İlker
dc.contributor.authorDaylan, Ahmet
dc.date.accessioned2025-03-20T09:41:20Z
dc.date.available2025-03-20T09:41:20Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractObjectives: This study aimed to reveal the incidence, treatment, and outcomes of abdominal compartment syndrome (ACS) following open or endovascular repair of ruptured abdominal aortic aneurysm (rAAA). Patients and methods: The retrospective study included 36 patients (27 males, 9 females; mean age: 68.9±7.2 years; range, 61 to 81 years) who presented with rAAA between May 2016 and July 2023. In all patients, data regarding demographic characteristics, type of repair (open repair or endovascular aneurysm repair [EVAR]), ACS onset, morbidity, and mortality were recorded. The diagnosis of ACS was made by clinical signs and abdominal pressure measurements. Results: The overall mortality was 41.7% (n=15). Abdominal compartment syndrome developed in five (13.9%) patients, including two (25%) of eight patients who underwent EVAR and three (10.7%) of 28 patients who underwent open repair. In the open repair group, three (60%) of five patients who developed ACS and 12 (38.7%) of 31 patients without ACS died while one (50%) of two patients who developed ACS died in the EVAR group. No death was noted among patients without ACS in the EVAR group. Conclusion: This study shows that ACS can develop following both EVAR and open rAAA repair. Decompression laparotomy and open abdominal treatment should not be delayed when indicated. Although intra-abdominal pressure remains high, appropriate therapy may significantly affect outcomes.
dc.identifier.doi10.5606/e-cvsi.2023.1563
dc.identifier.endpage176
dc.identifier.issn2148-9211
dc.identifier.issue3
dc.identifier.startpage170
dc.identifier.trdizinid1226677
dc.identifier.urihttps://doi.org/10.5606/e-cvsi.2023.1563
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1226677
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1902
dc.identifier.volume10
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofCardiovascular surgery and interventions
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20250319
dc.subjectEVAR
dc.subjectAbdominal compartment syndrome
dc.subjectintra-abdominal hypertension
dc.subjectruptured abdominal aortic aneurysms
dc.titleAbdominal compartment syndrome following open and endovascular repair of ruptured abdominal aortic aneurysm
dc.typeArticle

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