ISSN: 1306-7656
Dil: Türkçe, İngizlizce
İçerik: Orjinal araştırma, Derleme, editöryel yorum, editöre mektup, tıbbi eğitim, bilimsel mektup, cerrahi teknik, tıbbi kitap değerlendirmeleri, orjinal görüntüler, soru cevaplar, ayrıcı tanı
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ORIGINAL RESEARCH ARTICLES |
The Results Of Our Infrarenal Abdominal Aortic Aneurysm
Dr. Oktay BURMA,a Dr. Ayhan UYSAL,b Dr. K. Kaan ÖZSİN,c Dr. Soner AZAK,cDr. Latif ÜSTÜNEL,c Dr. Ali RAHMANc
aKalp Damar Cerahisi ABD, Gaziantep Üniversitesi, GAZİANTEPbKalp Damar Cerrahisi Kliniği, Özel İstanbul Çamlıca Ömür Hastanesi, İSTANBULcKalp Damar Cerrahisi ABD, Fırat Üniversitesi Tıp Fakültesi, ELAZIĞ
Objective: Abdominal aorta aneurysms are life threating diseases with rupture risk which most frequently seen in aortic pathologies and increase with age. In this study, we evaluated patients outcomes with infrarenal abdominal aorta aneurysm surgery.
Material and Methods: Thirty-two patients who had abdominal aorta aneurysm surgery between January 2000 and March 2006 were evaluated retrospectively. Emergency was performed on 9 patients. Twenty-three patients had elective surgery. Diagnosis was revealed by physical examination, ultrasonography, and contrast enhanced computerized tomography. Coronary angiography was performed in 23 elective surgery and peripheral angiographies were included the procedure in 6 patients who had peripheral artery diseases.
Results: Of the 32 patients, 26 (81.2%) were male and 6 (18.8%) were female. The patients mean age was 63.6 years (ranged between 32 and 79). Diameter of aneurysm ranged between 5.3 and 8.6 cm (mean ± standard division; 6.4 ± 0.7 cm) in patients with elective surgery. Five patients underwent coronary angiographies have showed severe coronary artery diseases. Three of these patients had PTCA, whereas 2 patients had beating heart coronary bypass surgery using Octopus III tissue stabilizator. Mortality was 44% in patients with emergent surgery due to rupture whereas it was 4.3% in patients with elective surgery (OR 17.6, p= 0.015, CI 1.60-193.39).
Conclusion: Elective surgeries of abdominal aorta aneurysm have demonstrated that low mortality rates when compared emergent surgical procures which have high mortality rate. This might associated with hemodynamic instability and undiagnosed coronary artery diseases in patients who had emergent surgery.Keywords: Aortic aneurysm, abdominal; rupture; mortalityTurkiye Klinikleri J Cardiovasc Sci 2007, 19:161-164
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