A ruptured abdominal aortic aneurysm is extremely dangerous and the patient may die in a very short period of time.
Ruptured abdominal aortic aneurysm is one of the most dangerous conditions in vascular surgery. Abdominal aortic aneurysm rupture results in intra-abdominal hemorrhage and hypovolemic shock, which is usually fatal within a short period of time after rupture. The overall mortality rate of ruptured abdominal aortic aneurysms has been reported to be more than 80%.
Once an abdominal aortic aneurysm is ruptured, if it is not treated with timely surgical repair, the survival rate of the patient is less than 50% within 24 h, and rare within 3 months, and the overall mortality rate can reach 85%-95%. Even in cases where timely surgical treatment is available, the overall mortality rate is 45%-55%.
The mortality rate of ruptured abdominal aortic aneurysms is very high. Routine ultrasound screening for abdominal aortic aneurysms is recommended for middle-aged and elderly patients, especially those with hypertension, diabetes mellitus, and smokers, in order to prevent life-threatening rupture of the abdominal aortic aneurysm by timely medical intervention.
Emergency surgery is the most effective treatment for open and restrictive ruptured abdominal aortic aneurysms with significant blood loss. The ability to perform emergency surgery is an important factor in determining how long one can live after rupture of an abdominal aortic aneurysm.
In patients with a high suspicion of rupture or rupture of the abdominal aortic aneurysm, dissection should be performed as soon as possible in order to minimize the possibility of emergency death.