Description

American Association for the Surgery of Trauma (AAST) reported grading criteria for a ruptured abdominal aortic aneurysm.


Patient selection: abdominal aortic aneurysm

 

Parameters:

(1) size of aneurysm

(2) rupture with bleeding

(3) other complications

 

Size of Aneurysm

Rupture with Bleeding

Other Complications

Grade

stable <= 4 cm

none

none

0

> 4 cm or increasing in size (> 5 mm in 6 months

none

none

I

NA

impending

none

II

NA

periaortic blood

none

III

NA

retroperitoneal hematoma

none

IV

NA

free intraperitoneal blood

NA

V

NA

NA

aortoenteric fistula, or aortocaval fistula

V

 


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