RESUMO
During the period January 1985 to May 1993, 129 patients were hospitalized for abdominal aortic aneurysms at the hospital in Haugesund. Of these patients, 93 underwent surgery at our hospital. Acute operations were performed in 33 patients with a perioperative (30 days) mortality of 45%. 60 patients underwent elective surgery with no perioperative (30 days) mortality. 14 patients were sent to a regional/university hospital. For various reasons, 22 patients were not operated on.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Complicações Intraoperatórias/mortalidade , Complicações Pós-Operatórias/mortalidade , Idoso , Aneurisma da Aorta Abdominal/mortalidade , Emergências , Feminino , Mortalidade Hospitalar , Hospitais de Condado/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Noruega/epidemiologia , PrognósticoRESUMO
In most cases a ruptured abdominal aortic aneurism is dramatic, with rapid deterioration of the clinical condition of the patient. With abdominal and back pain, pulsatile tumour, and development of bleeding shock the diagnosis is obvious. In some cases the symptoms are not clear and the condition can be misinterpreted. The authors describe a case to illustrate this. A 74 year-old male was admitted to hospital with vague abdominal pain and left inguinal hernia. It later turned out that a ruptured abdominal aortic aneurism was the reason for his symptoms and signs. 14 similar cases are reported in the literature.
Assuntos
Aneurisma da Aorta Abdominal/diagnóstico , Ruptura Aórtica/diagnóstico , Idoso , Aneurisma da Aorta Abdominal/cirurgia , Ruptura Aórtica/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , PrognósticoRESUMO
One hundred and thirty-six patients operated on with femoropopliteal bypass for arterial occlusive disease are retrospectively examined. In 58% of the cases the reversed saphenous vein was used, while 42% had a Dardick Biograft (umbilical vein graft). Patency rate for all grafts was 62.2% at four years. The most important factor for long term patency in our material is the type of graft used. In the saphenous vein group the four years patency rate was 74%, while in the Dardick group 45%. There was no significant difference in patency rate for patients operated on for claudication and those for limb salvage. We found a significantly lower patency rate when the distal anastomosis was placed below the knee. Patients with good arteriographic runoff had better long term patency. The difference was, however, not significant for the prosthetic group. The perioperative mortality was 1.4%. Early graft failure was 4.8% in the autologous vein group and 33% in the umbilical vein group. The majority of amputations occurred in patients with early failure of umbilical vein grafts.