Ruptured Abdominal Aortic Aneurysm

Benjamin Ware Starnes, MD, FACS, is Professor and Chief of the Division of Vascular Surgery, University of Washington School of Medicine and Chief of Vascular and Endovascular Surgery, Harborview Medical Center, Seattle, Washington, USA. He is Program Director for both the Vascular Surgery Fellowship and the Vascular Surgery Residency at the University of Washington. Dr. Starnes became a Fellow of the American College of Surgeons in 2005 and a Distinguished Fellow of the Society for Vascular Surgery in 2011. He is a member of the editorial boards of both the Journal of Vascular Surgery and the Annals of Vascular Surgery and is Associate Editor of the Yearbook of Vascular Surgery. Dr. Starnes has been the recipient of many awards and honors. He is the author of some 60 articles in peer-reviewed journals.

“The authors have conducted an exhaustive review of the diagnosis and management of ruptured abdominal aortic aneurysms … . can be used by any student, resident, fellow, or attending in the field of vascular surgery. This book not only has helpful background information and educational material that would serve all readers well, it also contains detailed operative objectives and procedures that would most benefit readers with surgical experience, especially in vascular surgery.” (Ashish K. Jain, Doody's Book Reviews, July, 2017)“The purpose is to delineate in detail the management of ruptured abdominal aortic aneurysms. … This will best serve as an educational tool for residents and fellows in vascular surgery and as a point of reference for attending practicing vascular surgeons. Even vascular surgeons who regularly operate on the aorta can gain valuable information from this book, as it provides the collective insight of some of the leading aortic surgeons in the country.” (Ashish Jain, Doody's Book Reviews, July, 2017)

• Background- Scope of the Problem.- Epidemiology.- Pathogenesis.- Wall Stress.- Clinical Presentation.- Diagnostics.- Predictors of Certain Death.- Pre-Hospital Considerations.- Initial Diagnosis and Stabilization in the Emergency Room.- Hypotensive Hemostasis.- Aortic Occlusion Balloons.- Operative Strategies.- Randomized Trials- What is the evidence?- Non Randomized Evidence – What is the data telling us?- ICU Management.- Post-operative Complications.- Outcomes- Early and Late.- Guidelines for Transfer to Specialized Centers.- Quality of Life after rAAA repair.- Coding and Reimbursement for rAAA.- Historical Perspectives.- Notes and Illustrations.