Penatalaksanaan Aneurisma Aorta Abdominalis

Oleh :

dr.Eva Naomi Oretla

Penatalaksanaan definitif aneurisma aorta abdominalis adalah tindakan operatif. Aneurisma aorta abdominalis yang mengalami ruptur merupakan suatu kegawatdaruratan yang membutuhkan resusitasi sebagai penatalaksanaan awal sebelum tindakan operasi emergensi. Aneurisma aorta abdominalis tanpa ruptur dapat diberikan farmakoterapi dan dilakukan terapi operatif elektif.[18,19,26]

Penatalaksanaan Kegawatdaruratan

Penatalaksanaan gawat darurat harus diterapkan pada pasien yang mempunyai gejala yang sesuai dengan atau sugestif terhadap diseksi atau ruptur aorta abdominalis.[21,30]

Referensi

5. Chaikof E. L., Dalman, R. L., et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. Journal of Vascular Surgery. 2018;67(1):2–77 DOI:10.1016/j.jvs.2017.10.044
6. Cooper M. A., Upchurch G. R. The Society of Vascular Surgery Practice Guidelines on the Care of Patients With Abdominal Aortic Aneurysms. JAMA Surgery. 2019;0:1-2
9. Golledge J, Thanigaiman S, et al. Pathogenesis and management of abdominal aortic aneurysm. European Heart Journal.2023;44:2682–2697 DOI: https://doi.org/10.1093/eurheartj/ehad386
12. Shaw P M, Loree J, Gibbons R C. Abdominal Aortic Aneurysm. StatPearls. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470237/
14. Hellawell HN, Mostafa Ahmed MHAM, et al. Abdominal aortic aneurysms part one: Epidemiology, presentation and preoperative considerations. Journal of Perioperative Practice. 2021;31(7&8):274–280 DOI: 10.1177/1750458920954014
18. Chung MJ. Abdominal Aortic Aneurysm. JAAPA. 2020;33(5):52-53. https://pubmed.ncbi.nlm.nih.gov/32345949/
19. Clancy K, Wong J, Spicher A. Abdominal Aortic Aneurysm: A Case Report and Literature Review. Perm J. 2019;23(18);218 DOI: https://doi.org/10.7812/TPP/18.218
21. McClarty D B, Kuhn D C S, Boyd A J. Hemodynamic Changes in an Actively Rupturing Abdominal Aortic Aneurysm. J Vasc Res. 2021;58:172–179 DOI:10.1159/000514237
25. Perea GO and Corneli M. Non-invasive techniques in diagnosis and treatment of patients with abdominal aortic aneurysm. e-Journal of Cardiology Practice, 18(23); 26 Aug 2020. https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-18/non-invasive-techniques-in-diagnosis-and-treatment-of-patients-with-abdominal-ao
26. Liu Z. Editorial: Abdominal aortic aneurysms: advancements in diagnosis, biomarkers, drug therapeutics, surgical and endovascular treatment. Front. Cardiovasc. Med. 2023;10:1218335 DOI: 10.3389/fcvm.2023.1218335
28. Fu Yu, Liu H, Li K, et al. C-reactive protein deficiency ameliorates experimental abdominal aortic aneurysms. Front. Immunol. 2023;14:1233807 DOI: 10.3389/fimmu.2023.1233807
29. Hensley S E, Upchurch G R. Repair of Abdominal Aortic Aneurysms. JACC. 2022;80(8):821-831 DOI: https://doi.org/10.1016/j.jacc.2022.04.066
30. Emergency Care Institute NSW. Abdominal Aortic Aneurysm (AAA). ECI New South Wales Government. 2023. https://aci.health.nsw.gov.au/networks/eci/clinical/clinical-tools/abdominal-emergencies/aaa
31. National Health Service. Abdominal aortic aneurysm. NHS UK. 2023. https://www.nhs.uk/conditions/abdominal-aortic-aneurysm/
32. Schanzer A, Oderich G S. Management of Abdominal Aortic Aneurysms. N Engl J Med. 2021;85:1690-1698 DOI: 10.1056/NEJMcp2108504

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