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Ruptured abdominal aortic aneurysm

MedGen UID:
82690
•Concept ID:
C0265012
•
Disease or Syndrome
Synonyms: Abdominal aortic aneurysm which has ruptured; Ruptured Abdominal Aortic Aneurysm; Ruptured aneurysm of abdominal aorta
SNOMED CT: Abdominal aortic aneurysm which has ruptured (14336007); Ruptured abdominal aortic aneurysm (14336007); Ruptured aneurysm of abdominal aorta (14336007)

Definition

A ruptured aneurysm located in the portion of the descending aortic wall that is within the abdomen. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRuptured abdominal aortic aneurysm

Professional guidelines

PubMed

Ruptured abdominal aorto-iliac aneurysms: Diagnosis, treatment, abdominal compartment syndrome, and role of simulation-based training.
Menges AL, D Oria M, Zimmermann A, Dueppers P
Semin Vasc Surg 2023 Jun;36(2):163-173. Epub 2023 Mar 15 doi: 10.1053/j.semvascsurg.2023.03.002. PMID: 37330231
Western Vascular Society guidelines for transfer of patients with ruptured abdominal aortic aneurysm.
Mell MW, Starnes BW, Kraiss LW, Schneider PA, Pevec WC
J Vasc Surg 2017 Mar;65(3):603-608. doi: 10.1016/j.jvs.2016.10.097. PMID: 28236914
Management of abdominal compartment syndrome and the open abdomen.
Björck M, Wanhainen A
Eur J Vasc Endovasc Surg 2014 Mar;47(3):279-87. Epub 2014 Jan 18 doi: 10.1016/j.ejvs.2013.12.014. PMID: 24447530

Recent clinical studies

Etiology

Houston Methodist Ruptured Abdominal Aortic Aneurysm Guidelines.
Dang VC, Osztrogonacz PJ, Haddad P, Sharma S, Corr SJ, Rahimi M
Methodist Debakey Cardiovasc J 2023;19(2):78-89. Epub 2023 Mar 7 doi: 10.14797/mdcvj.1177. PMID: 36910549Free PMC Article
Endovascular treatment for ruptured abdominal aortic aneurysm.
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
Repair of ruptured abdominal aortic aneurysm after cardiac arrest.
Harris DG, Garrido D, Oates CP, Kalsi R, Huffner ME, Toursavadkohi S, Darling RC 3rd, Crawford RS
J Vasc Surg 2016 Nov;64(5):1497-1502. Epub 2016 Jul 26 doi: 10.1016/j.jvs.2016.05.085. PMID: 27473775
Ruptured abdominal aortic aneurysm-epidemiology, predisposing factors, and biology.
Schmitz-Rixen T, Keese M, Hakimi M, Peters A, Böckler D, Nelson K, Grundmann RT
Langenbecks Arch Surg 2016 May;401(3):275-88. Epub 2016 Mar 21 doi: 10.1007/s00423-016-1401-8. PMID: 27001684
Abdominal aortic aneurysm.
Keisler B, Carter C
Am Fam Physician 2015 Apr 15;91(8):538-43. PMID: 25884861

Diagnosis

Endovascular treatment for ruptured abdominal aortic aneurysm.
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
Abdominal Vascular Catastrophes.
Singh M, Koyfman A, Martinez JP
Emerg Med Clin North Am 2016 May;34(2):327-39. doi: 10.1016/j.emc.2015.12.014. PMID: 27133247
Abdominal aortic aneurysm.
Keisler B, Carter C
Am Fam Physician 2015 Apr 15;91(8):538-43. PMID: 25884861
Misdiagnosis of ruptured abdominal aortic aneurysm: systematic review and meta-analysis.
Azhar B, Patel SR, Holt PJ, Hinchliffe RJ, Thompson MM, Karthikesalingam A
J Endovasc Ther 2014 Aug;21(4):568-75. doi: 10.1583/13-4626MR.1. PMID: 25101588
Aortic dissection.
Ponraj P, Pepper J
Br J Clin Pract 1992 Summer;46(2):127-31. PMID: 1457300

Therapy

Racial disparities in treatment of ruptured abdominal aortic aneurysms.
O'Donnell TFX, Dansey KD, Marcaccio CL, Patel PB, Hughes K, Soden P, Zettervall SL, Schermerhorn ML
J Vasc Surg 2023 Feb;77(2):406-414. Epub 2022 Aug 18 doi: 10.1016/j.jvs.2022.08.009. PMID: 35985567Free PMC Article
Editor's Choice - Endovascular vs. Open Repair for Abdominal Aortic Aneurysm: Systematic Review and Meta-analysis of Updated Peri-operative and Long Term Data of Randomised Controlled Trials.
Antoniou GA, Antoniou SA, Torella F
Eur J Vasc Endovasc Surg 2020 Mar;59(3):385-397. Epub 2019 Dec 30 doi: 10.1016/j.ejvs.2019.11.030. PMID: 31899100
Open repair of ruptured abdominal aortic aneurysm with associated horseshoe kidney.
Davidovic LB, Markovic M, Kostic D, Zlatanovic P, Mutavdzic P, Cvetic V
Int Angiol 2018 Dec;37(6):471-478. Epub 2018 Sep 24 doi: 10.23736/S0392-9590.18.04039-7. PMID: 30256051
Endovascular treatment for ruptured abdominal aortic aneurysm.
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
Abdominal aortic aneurysm.
Keisler B, Carter C
Am Fam Physician 2015 Apr 15;91(8):538-43. PMID: 25884861

Prognosis

Endovascular treatment for ruptured abdominal aortic aneurysm.
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
Intravenous heparin during ruptured abdominal aortic aneurysmal repair.
Lammy S, Blackmur JP, Perkins JM
Cochrane Database Syst Rev 2016 Aug 19;2016(8):CD011486. doi: 10.1002/14651858.CD011486.pub2. PMID: 27541335Free PMC Article
Repair of ruptured abdominal aortic aneurysm after cardiac arrest.
Harris DG, Garrido D, Oates CP, Kalsi R, Huffner ME, Toursavadkohi S, Darling RC 3rd, Crawford RS
J Vasc Surg 2016 Nov;64(5):1497-1502. Epub 2016 Jul 26 doi: 10.1016/j.jvs.2016.05.085. PMID: 27473775
Misdiagnosis of ruptured abdominal aortic aneurysm: systematic review and meta-analysis.
Azhar B, Patel SR, Holt PJ, Hinchliffe RJ, Thompson MM, Karthikesalingam A
J Endovasc Ther 2014 Aug;21(4):568-75. doi: 10.1583/13-4626MR.1. PMID: 25101588
Aortic dissection.
Ponraj P, Pepper J
Br J Clin Pract 1992 Summer;46(2):127-31. PMID: 1457300

Clinical prediction guides

Treatment Outcomes of Patients With Ruptured Abdominal Aortic Aneurysms.
Kim H, Kwon TW, Cho YP, Gwon JG, Han Y, Lee SA, Kim YJ, Kim S
J Korean Med Sci 2023 Oct 9;38(39):e321. doi: 10.3346/jkms.2023.38.e321. PMID: 37821088Free PMC Article
Why randomized controlled trials do not always reflect reality.
Paraskevas KI, de Borst GJ, Veith FJ
J Vasc Surg 2019 Aug;70(2):607-614.e3. Epub 2019 Mar 14 doi: 10.1016/j.jvs.2019.01.052. PMID: 30878256
Treatment of Ruptured Abdominal Aortic Aneurysms: State of the Art.
Oliveira-Pinto J, Sousa J, Mansilha A
Acta Med Port 2018 Apr 30;31(4):213-218. doi: 10.20344/amp.10275. PMID: 29855415
Repair of ruptured abdominal aortic aneurysm after cardiac arrest.
Harris DG, Garrido D, Oates CP, Kalsi R, Huffner ME, Toursavadkohi S, Darling RC 3rd, Crawford RS
J Vasc Surg 2016 Nov;64(5):1497-1502. Epub 2016 Jul 26 doi: 10.1016/j.jvs.2016.05.085. PMID: 27473775
Misdiagnosis of ruptured abdominal aortic aneurysm: systematic review and meta-analysis.
Azhar B, Patel SR, Holt PJ, Hinchliffe RJ, Thompson MM, Karthikesalingam A
J Endovasc Ther 2014 Aug;21(4):568-75. doi: 10.1583/13-4626MR.1. PMID: 25101588

Recent systematic reviews

Editor's Choice - Endovascular vs. Open Repair for Abdominal Aortic Aneurysm: Systematic Review and Meta-analysis of Updated Peri-operative and Long Term Data of Randomised Controlled Trials.
Antoniou GA, Antoniou SA, Torella F
Eur J Vasc Endovasc Surg 2020 Mar;59(3):385-397. Epub 2019 Dec 30 doi: 10.1016/j.ejvs.2019.11.030. PMID: 31899100
Endovascular treatment for ruptured abdominal aortic aneurysm.
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
Intravenous heparin during ruptured abdominal aortic aneurysmal repair.
Lammy S, Blackmur JP, Perkins JM
Cochrane Database Syst Rev 2016 Aug 19;2016(8):CD011486. doi: 10.1002/14651858.CD011486.pub2. PMID: 27541335Free PMC Article
Misdiagnosis of ruptured abdominal aortic aneurysm: systematic review and meta-analysis.
Azhar B, Patel SR, Holt PJ, Hinchliffe RJ, Thompson MM, Karthikesalingam A
J Endovasc Ther 2014 Aug;21(4):568-75. doi: 10.1583/13-4626MR.1. PMID: 25101588
Endovascular treatment for ruptured abdominal aortic aneurysm.
Badger S, Bedenis R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2014 Jul 21;(7):CD005261. doi: 10.1002/14651858.CD005261.pub3. PMID: 25042123

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