SPONTANEOUS RUPTURE OF ABDOMINAL AORTA WITHOUT PREVIOUS ANEURYSM

E.G. Tutov, V.S. Arakeljan, I.V. Chshieva, R.A. Abdulgasanov, S.I. Prjadko, V.S. Chernikov, K.A. Boshjan, V.F. Harpunov, E.B. Fitileva
Department of Vascular Surgery and Angiology, A.N. Bakulev Scientific Center of Cardiovascular Surgery, Russian Academy of Medical Science,
Moscow, Russia

Aneurysm ruptures of abdominal aorta are well known and occur quite often in practice of vascular and general surgeons. The risk of the complication strictly correlates with aneurysm size, in 40-70% of cases leading to fatal outcome. Much less common are abdominal aortal ruptures without preceding aneurysms. Major causes of this complication are abdominal trauma [1-3], abdominal surgical interventions [4,5] and infections [1,6-8]. However in some cases the cause remains unelucidated [1,7]. Furthermore there exists an opinion that "we see aneurysms prior to their rupture, but we never see in reality spontaneous rupture of non-aneurysmal undilated vessels" [7]. The purpose of this study is to present a case of spontaneous rupture of abdominal aorta without pre-existing aneurysm and its successful surgical correction.

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