[Effect of patients' preoperative condition on the outcome of the surgical repair of the infrarenal abdominal aortic aneurism].

ABSTRACT

During the past decades there is an evidence of the increase in the number of patients with the aneurism of the infrarenal abdominal aorta (IRAAA). As a rule, there is an increased operative risk among these patients due to presence of concomitant diseases. The aim of this study was to investigate effect of patients' preoperative condition on the outcome after the surgical repair of the IRAAA. We studied 78 patients with IRAAA, who underwent elective surgery during 1982-2006. Age ranged from 30 to 84 with the main age of 64. Concomitant diseases were detected in 99% of patients. Postoperative complications occurred in 55% and in 14% there was a lethal outcome. The effect of patients' preoperative condition on the postoperative course was investigated. The role of the thorough preoperational evaluation in an effort to reduce complications in the postoperative course was emphasized.