Clinical Experience of Abdominal Aortic Aneurysm / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 261-266, 2003.
Article
en Ko
| WPRIM
| ID: wpr-73040
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: Surgery of abdominal aortic aneurysm revealed high operative mortality. We reviewed our 11-years' experiences of abdominal aortic aneurysm operation and wish to obtain information on the treatment. MATERIAL AND METHOD: From Jan. 1990 to Dec. 2000, 48 patients were operated due to abdominal aortic aneurysm in Yonsei Cardiovascular Center. Mean age was 62.8+/-12.7 and there were 40 males and 8 females. Among 48 patients, nine patients had ruptured abdominal aortic aneurysm, and mean aneurysm diameter of non-ruptured cases was 8.8+/-2.4 cm. RESULT: There were 6 early deaths, and early mortality was 12.5%. Among 9 patients of preoperative aneurysm rupture, three patients died (33.3%), and among 39 patients of non-ruptured cases, 3 patients died (7.7%). Among preoperative variables, age (p<0.05), preoperative BUN level (p<0.05), and DM (p<0.05) were risk factors of early mortality. Among discharged 42 patients, 40 patients were followed up (f/u rate=95.2%) and mean follow up was 3.6+/-0.2 years. During follow up periods, five patients died (late mortality=11.9%), and Kaplan-Meier survival analysis revealed 81.7+/-7.6% survival rate at five and ten year. Linealized incidence of graft related event was 3.53% per patient-year. CONCLUSION: Surgical mortality of ruptured abdominal aortic aneurysm was higher than non-ruptured cases; therefore, early resection of the aneurysm can decrease the surgical mortality.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Rotura
/
Incidencia
/
Tasa de Supervivencia
/
Factores de Riesgo
/
Estudios de Seguimiento
/
Mortalidad
/
Aneurisma de la Aorta Abdominal
/
Trasplantes
/
Aneurisma
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2003
Tipo del documento:
Article