Ruptured abdominal aortic aneurysms early recognition, hemodynamic stabilization, and emergency vascular surgery

Ahmed Amin Aljefri; Ahmed Abdulhadi Alhajji; Fahad Waed Al Shammari; Esra Salman Al Habib; Mohammed Ghanem Alanazi; Anfal Sayed Esam; Faisal Abdullah Alghamdi; Hassan H. Alajmi; Nojoud Mohammed Basahal; Khadijah Mohammed Qattan; Abdullah Abdulrahman Alwakeel

doi:10.18203/2394-6040.ijcmph20233853

Authors

Ahmed Amin Aljefri Department of Emergency Medicine, Al Thager Hospital, Jeddah, Saudi Arabia
Ahmed Abdulhadi Alhajji ICU, Al-Ahsa Health Cluster, Al Ahsa, Saudi Arabia
Fahad Waed Al Shammari Department of General Surgery, King Khalid Hospital, Majmaah, Saudi Arabia
Esra Salman Al Habib Department of Emergency Medicine, Jubail General Hospital, Jubail, Saudi Arabia
Mohammed Ghanem Alanazi Emergency Nursing Department, Armed Forces Hospital, Al Kharj, Saudi Arabia
Anfal Sayed Esam Department of General Surgery, Bahrain Defense Forces Hospital, Riffa, Bahrain
Faisal Abdullah Alghamdi Medical Administration of the Land Forces, Armed Forces Hospital, Dhahran, Dhahran, Saudi Arabia
Hassan H. Alajmi Department of General Surgery, Jahra Hospital, Al Jahra, Kuwait
Nojoud Mohammed Basahal College of Medicine, Ibn Sina National College, Jeddah, Saudi Arabia
Khadijah Mohammed Qattan College of Medicine, Ibn Sina National College, Jeddah, Saudi Arabia
Abdullah Abdulrahman Alwakeel College of Medicine, University of Tabuk, Tabuk, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20233853

Keywords:

Ruptured abdominal aortic aneurysms, Vascular emergency, Hemodynamic stabilization, Emergency vascular surgery, Aneurysms

Abstract

Ruptured abdominal aortic aneurysms (rAAAs) are extremely dangerous. Require attention. This thorough review explores the management of rAAA, focusing on the detection stabilizing blood flow and emergency vascular surgery. Recognizing symptoms such as intense abdominal pain, low blood pressure, a pulsating mass in the abdomen, signs of reduced blood flow to the lower limbs, and back pain is crucial for quick identification. Diagnostic imaging techniques like ultrasound and computed tomography angiography (CTA) play a role in confirming the diagnosis and assessing the risk involved. Properly managing hemodynamics by balancing resuscitation efforts with approaches is essential to control ongoing bleeding. Emergency vascular surgery options include aneurysm repair (EVAR) and open repair; the choice depends on factors like anatomy, stability of blood flow, and surgical expertise. Prioritizing optimization to address any health conditions and closely monitoring patients after surgery greatly contribute to overall success rates. A collaborative approach among healthcare professionals ensures a multidisciplinary strategy during the period emphasizing effective communication. This comprehensive approach aims for outcomes in dealing with challenging rAAAs while considering advancements in research and clinical practices.

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