COMPARISON OF POSTOPERATIVE DATA AND SURVIVAL IN PATIENTS WITH AND WITHOUT RUPTURE IN INFRA-ABDOMINAL AORTIC ANEURYSMS: 23 YEARS EXPERIENCE
Copyright (c) 2019 Bilgehan Erkut
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Infrarenal abdominal aortic aneurysms are responsible for high rates of rupture-associated morbidity and mortality and can be treated by open or endovascular surgery. We compared the postoperative data and vital functions of the patients who had undergone open surgery for ruptured and non-ruptured infra-renal abdominal aortic aneurysms.
Between January 1996 and March 2019, 84 patients (62 males, 22 females) underwent open surgical repair because of infrarenal abdominal aortic aneurysm in 2 separate hospitals in our region. The mean age of our patients was 71.5 ± 6.4 years (range 48-81 years). The patients were divided into two groups. Group I patients were composed of 45 patients and these patients were taken under elective conditions before the rupture occurred. The number of patients in Group II was 39 and these patients were operated after rupture. Group II patients underwent surgical treatment in emergency conditions and in an unstable hemodynamic state. In Group II patients, the duration of intensive care unit and hospitalization was higher than Group I. In addition, hospital costs were higher in Group II patients. 26 patients (30.9%) in Group II and 5 patients (5.9%) in Group I died in the early and postoperative period.
According to this retrospective study, operative repair before rupture in infra-renal abdominal aortic aneurysms decreases morbidity and mortality rates, statistically. Therefore, patients who are diagnosed with infra-renal abdominal aortic aneurysm and do not reach the surgical conditions should be followed up as closely as possible and should be operated before rupture when the surgical indication is established.
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