Abdominal aortic aneurysm

CONCLUSION: We concluded that the patients with abdominal aortic aneurysm should have operated as soon as diagnosed unless they do not have another systemic disorder which may increase the risk of operation.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:AIM: Twenty-seven patients were operated with the diagnosis of abdominal aortic aneurysm between March 1990 and January 2000 in the Department of Cardiovascular Surgery of Cumhuriyet University.

📊

Key Findings & Data:MATERIAL AND METHODS: The patients' age ranged between 51 and 79, the average was 69 years.

💡

Conclusion & Impact:CONCLUSION: We concluded that the patients with abdominal aortic aneurysm should have operated as soon as diagnosed unless they do not have another systemic disorder which may increase the risk of operation.

🔬Design:Research Article

📍Scope:2000 Verileri

⚙️Variables:Geriyedönük çalışma · Ölüm oranı · Cerrahi işlemler

Abstract

AIM: Twenty-seven patients were operated with the diagnosis of abdominal aortic aneurysm between March 1990 and January 2000 in the Department of Cardiovascular Surgery of Cumhuriyet University. MATERIAL AND METHODS: The patients' age ranged between 51 and 79, the average was 69 years. Of these patients, 89% (24) were male, 11% (3) were female. Sixty-three percent (17) of the patients were operated in elective conditions whereas 37% (10) were operated as emergent cases. The diameter of aneurysms ranged between 4.5 and 12 cm (average 6.5). RESULTS: The Y greft replacement was performed in 81% (22), the tubular greft was performed in 11% (3) and aneurysmoraphy was performed in 3.7% (1) of the patients. The mortality rate was 5.8 % in the elective cases whereas it was 40.7% in the emergent cases. CONCLUSION: We concluded that the patients with abdominal aortic aneurysm should have operated as soon as diagnosed unless they do not have another systemic disorder which may increase the risk of operation.

Özet

AMAÇ: Cumhuriyet Üniversitesi Kalp Damar Cerrahisi Kliniğinde Mart 90 ile Ocak 2000 tarihleri arasında toplam 27 hasta abdominal aort anevrizması tanısı nedeniyle ameliyata alınmıştır. GEREÇ AND YÖNTEM: Hastaların yaş dağılımı 51 ile 79 arasında olup ortalaması 69 idi. Bunların % 89'u (24) erkek, % 11'i (3) kadındı. Hastaların % 63'ü (17) elektif şartlarda, % 37'si (10) acil şartlarda operasyona alındı. Anevrizma çapları en küçü 4.5 cm, en büyük 12 cm olmak üzere ortalama 6.5 cm idi. BULGULAR: Hastaların %81'ine (22) Y grefti, %11'ine (3) tübüler greft konuldu, %3.7'sine (1) anevrizmorafi yapıldı. Elektif şartlarda ameliyat edilen hastalarda mortalite oranı %5.8 iken, acil şartlarda ameliyat edilenlerin mortalite oranı % 40 idi. SONUÇ: Mortalite oranları göz önüne alındığında, abdominal aort anevrizması olan hastaların ameliyat riskini artıracak başka bir sistemik hastalığı olmadığı sürece anevrizma çapına bakılmadan tanı konulduktan sonra en kısa sürede ameliyat edilmesinden yanayız.

Keywords

Geriyedönük çalışma Ölüm oranı Cerrahi işlemler elektif Aort anevrizması karın Retrospective Studies Mortality Surgical Procedures Elective Aortic Aneurysm Abdominal

🔖

Cite This Article

BERKAN, Ö., UÇARI, H., MANDUZ, Ş., ÖZDEMİR, T., GÜNAY, İ., DOĞAN, K. (2002). Abdominal aortic aneurysm. Medical Network Klinik Bilimler ve Doktor, Cilt: 8 - Sayı: 2, 198–201. https://ajindex.com/articles/278619

References (16)

Hollier LH, Taylor LM, Ochsener J. Recommended indications for operative treatment of abdominal aortic aneurysms. J Vase Surg 1992; 15:1046-53.
İpek G, Balkanay M, Atbatlı H, ve ark. Abdominal Aort Anevrizmalarında Klinik Deneyimimiz. Damar Cerrahisi Dergisi 1997; 1:15-8.
Chen JC, Hildebrand HD, Salvian AJ, et al. Predictors of death in nonruptured and ruptured abdominal aortic aneurysms. J Vase Surg 1996; 24:614-23.
Alayunt A, Atay Y, Çalkavur T, ve ark. Abdominal aort anevrizmalarının cerrahi tedavisinde açık teknik. Damar cerrahisi Dergisi 1997; 1:7-14.
Johanson G, Swedenborg J. Little impact of elective surgery on the incidence and mortality of ruptured aortic aneurysms. Eur J Vase Surg 1994; 8: 489-93.
Helpern VJ, Kline RG, Angelo AJ, Cohen JR. Factors that affect the survival rate of patients with ruptured abdominal aortic-aneurysms. J Vase Surg 1997; 26:939-48.
Webster MW, Jean PL, Steed DL, Ferrel RE, Majumder P. Abdominal aortic aneurysms: Results of family study. J Vase Surg 1991; 13:366-72.
Eyraund D, Bertrand M, Fleron MH, et al. Risk factors for mortalty in abdominal aortic surgery. Intern Med 2000; 39: 646-9.
McMillan WD, Patterson BK, Mohr WF et al. Insitu localization and quantification of seventy two kilodalton type IV collagenase in aneurysmal, occlusive and normal aorta. J Vase Surg 1995; 22:295-305.
Bayazıt M, Göl M K, Battaloğlu B, Tokmakoğlu H, Taşdemir O, Bayazıt K. Routine coronary arteriography before abdominal aneurysm repair. Am J Surg 1995; 170:246-50.
Huges MI, Fontanelle LJ. A 5-year rewiew of abdominal aortic aneurysms at a VA medical center. Lancet 2000; 356:832. Tireli E, Büyükbayrak F, Korkut K, Alpagut U, ve ark. Rüptüre abdominal aort anevrizmalarında mortaliteye etki eden faktörler. Damar Cerrahisi Dergisi 1997; 1:19-23.
Valentine RJ, Decaprio JD, Castillo JM. Watchfull waiting in cases of small abdominal aortic aneurysms- approprite for all patients? J Vase Surg 2000; 32:451-9.
Guirguis EM, Barber CC.The natural history of abdominal aortic aneurysms. Am J Surg 1991; 162:481-3.
Brown PM, Pattenden R, Gutelius RJ, et al. The selective management of smoll aortic aneurysms: the Kingstom study. J vase surg 1992; 15: 21-7.
Perko MJ, Olsen PS, Scroeder TV, Sorensen S, Lorentzen JE. Abdominal aortic aneurysm: Age as a risk factor influencing postoperative survival. Vase Surg 1993; 3:176-82:
Rosenthal D, Mckinsey JF, Erdoes LS, et al. Ruptured abdominal aortic aneurysm: Factors affecting survival and long-term results. Vase Sur