What do you know about the rupture of an aneurysm?

What do you know about rupture? What do we know about rupture? So rupture carries a very high mortality, so I think the figure I've heard most frequently is 80% of people who have a ruptured aneurysm outside of a hospital ultimately die. The other statistic is that once you get into, if you have a rupture at home, once you get into hospital and you know that has a vascular unit once you made it through the door still the mortality in that cohort that have made it through is about 50%. So the overriding aim for aneurysm surgery is to prevent rupture so what we're doing is mitigating risk and that can be quite often confusing for a lot of people because actually the aneurysm for a long period of time hasn't caused any pain whatsoever and in fact where we then subject patients to you know a prolonged period at least operatively and then post-operatively in terms of recovery with pain and discomfort and it takes a while to get over that operation whichever modality you choose. So you know I think as I've discussed before I think counselling you know early on explaining to a patient, usually with the aid of diagrams, exactly what an aneurysm is of importance because at the end of the day we're asking them to commit to quite a big undertaking if they're offered surgery.