Ruptured aneurysms of the abdominal aorta are the greatest challenge in modern vascular surgery. The emergency of the situation, comorbidities, variations in the anatomy of the abdominal organs due to the large amount of blood in the abdomen in the development of AAA, as well as difficulties caused by the surgical access coupled with damage to the cardiovascular and urinary systems result in mortality rate of about 50% as reported by various authors.
Open surgery in this scenario is superior to endovascular treatment EVAR (endovascular aneurysm repair) with prosthetic graft, since the latter does not provide adequate options to drain the retroperitoneal space, which is associated with a higher mortality rate.
A clinical case is presented of a patient admitted and operated on 24.06.2013 in "St. Marina" Hospital in Varna with Dg. Ruptured Aneurysm of the abdominal aorta with hemorrhagic shock.
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