Background: Ruptured abdominal aortic aneurysm is a surgical emergency that carries with it a high rate of mortality and morbidity. Even with the latest advances in technology, the mortality rate reaches 50 to 80%. The aim of this study is to show that preoperative aortic balloon occlusion in ruptured abdominal aortic aneurysm can decrease the morbidity and mortality rate.
Methods: This is a retrospective cohort study that involves a total of 29 patients admitted in our institution from January 1, 2013 to October 31, 2014, diagnosed with ruptured abdominal aortic aneurysm. All subjects underwent open repair, with the 8 of which had preoperative aortic balloon occlusion done prior to induction of anesthesia. 21 subjects had straight open repair. All preoperative aortic balloon occlusion were done in a standard manner.
Results: All subjects who underwent preoperative aortic balloon occlusion had a 100% survival rate, with a 25% acute renal injury rate. This included the transient rise in serum creatinine level. Whereas in the group with no preoperative aortic balloon occlusion, the mortality rate was 4.76% for table death and a 28.57% for postoperative death. 33.33% had a transient increase in serum creatinine while 28.57% required hemodialysis.
Conclusion: The use of preoperative aortic balloon occlusion in the repair of ruptured abdominal aortic aneurysm decreases the mortality and morbidity rates. It is a safe procedure that can be done in a fast manner and is life saving.