PMID: 15227957Jul 2, 2004Paper

Effect of intraoperative parameters on survival in patients with ruptured abdominal aortic aneurysms

Srpski arhiv za celokupno lekarstvo
Miroslav MarkovićS I Lotina

Abstract

Ruptured abdominal aortic aneurysm is one of the most urgent surgical conditions with high mortality that has not been changed in decades. Between 1991-2001 total number of 1058 patients was operated at the Institute for Cardiovascular Diseases of Clinical Centre of Serbia due to abdominal aortic aneurysm. Of this number, 288 patients underwent urgent surgical repair because of ruptured abdominal aortic aneurysm. The aim of this retrospective study was to show results of the early outcome of surgical treatment of patients with ruptured abdominal aortic aneurysm, and to define relevant intraoperative factors that influence their survival. There were 83% male and 17% female patients in the study, mean aged 67 years. Mean duration of surgical procedure was 190 minutes (75-420 min). Most common localization of aneurysm was infrarenal--in 74% of patients, then juxtarenal (12.3%). Suprarenal aneurysm was found in 6.8% of patients, as well as thoracoabdominal aneurysm (6.8%). Retroperitoneal rupture of aortic aneurysm was most common--in 65% of patients, then intraperotineal in 26%. Rare finding such as chronic rupture was found in 3.8%, aorto-caval fistula in 3.2% and aorto-duodenal fistula in 0.6% of patients. Mean aortic cross-clam...Continue Reading

References

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