Abstract
Objectives: This study was performed to define the incidence of perioperative venous thromboembolism (VTE) after operation of ruptured abdominal aortic aneurysm (AAA). Methods: Between August 2009 to July 2010, consecutive twenty-six patients underwent AAA repair, Eight emergent ruptured AAA repair (R group), eighteen elective AAA repair (E group), in our institution. We retrospectively compared various perioperative data, such as pre- and intra-operative factors, post-operative courses and incidence of perioperative VTE, between two groups. Results: Perioperative VTE tended to be more frequent in R group (four patients, 50%) than E group (two patients, 11.2%) (p=0.0298). Extension site of deep vein thrombosis (DVT) were three proximal DVT (37.5%) and one distal DVT (12.5%) in R group, two distal DVT (11.1%) in E group. In R group, one patient (12.5%) died of a massive acute pulmonary embolism (aPE). Conclusions: The incidence of perioperative VTE after ruptured AAA repair was high. It was thought that more stricter perioperative VTE prophylaxis, the early detection and medical treatment by agressive VTE screening were required.
