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Joseph Alpert, MD; Donald K. Brief, MD; Victor Parsonnet, MD

JAMA. 1970;212(8):1355-1359.

Abstract
In an eight-year interval, 40 consecutive ruptured abdominal aortic aneurysms were surgically resected in a community hospital. The resulting 43% mortality (18 patients) compares favorably with those reported from the larger university hospitals. A review of cases suggests that a successful surgical outcome depends on many variable factors, but speed in diagnosis and operation still remain the mainstays of success. Since a survival rate of 98% for elective aneurysm resection was obtained in 100 patients during the same eight-year period, we proposed a diligent search for all asymptomatic aneurysms and elective resection.

Author Affiliations
From the Department of Surgery, Newark (NJ) Beth Israel Medical Center.

Footnotes
Reprint requests to 201 Lyons Ave, Newark, NJ 07112 (Dr. Alpert).

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ABSTRACT