Abdominal compartment syndrome following open and endovascular repair of ruptured abdominal aortic aneurysm
Makaleler > Tam Makale · 2023
Yazarlar: İLKER KIZILOĞLU, AHMET DAYLAN
Cardiovascular Surgery and Interventions, Diğer Kurumların Hakemli Dergileri, Ulusal, TR Dizin (Ulakbim), 2023, cilt 10, ss 170-176
Özet
Ruptured abdominal aortic aneurysm (rAAA) remains to be a major surgical problem due to high surgical mortality and morbidity and need for rapid diagnosis and surgical repair despite contemporary advances.In aortic pathologies, endovascular repair techniques have replaced surgery with technological advances and improved experience.[1,2] Although endovascular rAAA repair shows promising outcomes regarding survival in selected patients, it is controversial that the technique is associated with favorable outcomes in all patients.[3,4] As was the case in elective endovascular interventions, novel complications have been defined with unclear treatment paradigms by improving experience in emergent endovascular repair.Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are known causes off multiorgan failure (MOF) and leading causes of postoperative mortality in rAAA patients undergoing open repair.[4][5][6] Abdominal compartment syndrome development was observed following both open and endovascular rAAA repair.[7][8][9] However, unlike open surgery, endovascular repair does not allow evacuation of retroperitoneal hematoma, which theoretically may lead to increased ACS incidence.Intra-abdominal hypertension and ACS resulting from elevated intra-abdominal pressure (IAP) have long been known in patients with acute aortic pathologies.[10] However, the diagnosis of IAH and ACS is underestimated in many clinics.Although treated sufficiently, the IAH overlooked following open and endovascular rAAA repair can transform into ACS with remarkable