Global Advanced Research Journal of Medicine and Medical Sciences (GARJMMS) ISSN: 2315-5159
May 2018, Vol. 7(5), pp. 111-117
Copyright © 2018 Global Advanced Research Journals
Full Length Research Article
Surgical Treatment of Infrarenal Abdominal Aortic Aneurysms: Is rupture important in terms of surgical complications?
Eyupserhat Calik, Umit Arslan, Bilgehan Erkut* and Azman Ates
Atatürk University, Medical Faculty, Department of Cardiovascular Surgery, Erzurum, TURKEY.
*Corresponding Author E-mail: email@example.com; Phone: 00904423448899; Cell: 00905337451006
Accepted 18 May, 2018
We evaluated the outcomes of patients with ruptured and non-ruptured infrarenal abdominal aortic aneurysms, who have undergone open surgical repair during the 16 years period, and emphasized the necessity of early diagnosis. Fifty patients (36 males, 14 women) were performed open surgery for infrarenal abdominal aortic aneurysms, average age 64.47±10.48 years (ranging from 24 to 94 years) at our clinic between January 1996 and January 2012, were evaluated retrospectively. The patients were divided from two groups as nonruptured (Group I) and ruptured (Group II). Twenty six of patients were operated without rupture and most of these patients in elective conditions and hemodynamically stable. Twenty-four of them were operated with rupture and most of these in emergency conditions and hemodynamically unstable. Twelve patients (50%) in Group II and 1 patient (3,8%) in Group I were died in postoperative term. The mortality rate was 1-5% in Group I, 50% in Group II. For this reason, the programs must be enhanced for the detection of patients with early diagnosis in their abdominal aortic aneurysm before devoloping rupture, and screening tests must be performed on people with advanced age and people who have high risks of developing aneurysms, and appropriate interventions must be planned for patients who require that.
Keywords: Abdominal Aortic Aneurysm, Rupture, Emergency Surgery, Mortality, Early Diagnosis.
Ashton HA, Buxton MJ, Day NE, Kim LG, Marteau TM, Scott RA, et al (2002). The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial. Lancet. 360: 1531-1539.
Bown MJ, Sutton AJ, Bell PRF, Sayers RD (2002). A meta-analyses of 50 years of ruptured abdominal aortic aneurysm repair. Br. J. Surg. 89:714-730.
Brown LC, Powell JT (1999). UK small aneurysm trial participants. Risk factors for aneurysm rupture in patients kept under ultrasound surveillance. Ann. Surg. 230:289-297.
Buket S, Bilgen F, Battaloğlu B, Gürbüz A, Alhan C (2008). Abdominal Aort Anevrizması. Türk Kalp Damar Cerrahisi Derneği Aort Cerrahisinde Tanı ve Tedavi Kılavuzu In: Fuat Bilgen, eds: Güneş Tıp Kitabevleri. 36-56.
Büket S, Atay Y, Çalkavur T, Mahmudov R, Bilkay Ö (2003). Abdominal Aort Anevrizmaları. Aort Cerrahisi In: Suat Büket, Tahir Yağdı, eds: Yüce reklam/ yayın/ dağıtım aş. 347- 397.
Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicard GA, et al (2009). Society for Vascular Surgery. The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J. Vasc. Surg. 50:S2-49.
Chun KC, Teng KY, Van Spyk EN, Carson JG, Lee ES (2013). Outcomes of an abdominal aortic aneurysm screening program. J. Vasc. Surg. 57:376-381.
D'Angelo AJ, Puppala D, Farber A, Murphy AE, Faust GR,Cohen JR (1997). Is preoperative cardiac evaluation for abdominal aortic aneurysm repair necessary. J. Vasc. Surg. 25: 152-156.
Darling R, Messina CR, Brewster DC, Ottinger LW (1977). Autopsy study of unoperated abdominal aortic aneurysms: The case for early resection. Circulation. 56(3 Suppl):II161-64.
Earnshaw J, Shaw E, Whyman MR, Poskitt KR (2004). Screening for abdominal aortic aneurysms in men. BMJ. 328:1122-1124.
Guirguis-Blake JM, Beil TL, Senger CA, Whitlock EP (2014). Ultrasonography screening for abdominal ortic aneurysms: a systematic evidence review for the U.S. Preventive Services Task Force. Ann. Intern. Med.160:321-329.
Hirsch A, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, et al (2006). ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing;TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 113(11):e463-654.
Hollier L, Wisselink W (1996). Abdominal aortic aneurysm. Haimovici’s Vascular Surgery In: Haimovici H, eds Massachusetts: Blackwell Science. Pp. 797-827.
Kocher M, Utikal P, Koutna J, Bachleda P, Buriankova E, Herman M, et al (2004). Endovascular treatment of abdominal aortic aneurysms-6 years of experience with Ella stentgraft system. Eur. J. Radiol. 51:181-188.
Koçak H, Özyazıcıoglu A (2004). Abdominal Aort Anevrizmaları. Kalp ve Damar Cerrahisi In: Duran E, eds İstanbul: Çapa Tıp Kitabevi, 1 Edition. Pp. 725-741.
Lindholt JS, Sørensen J, Søgaard R, Henneberg EW (2010). Long-term benefit and cost-effectiveness analysis of screening for abdominal aortic aneurysms from a randomized controlled trial. Br. J. Surg. 97:826-834.
Mastracci TM, Cina` CS; Canadian Society for Vascular Surgery (2007). Screening for abdominal aortic aneurysm in Canada: review and position statement of the Canadian Society for Vascular Surgery. J Vasc Surg. 45:1268-1276.
Mell MW, Callcut RA, Bech F, Delgado MK, Staudenmayer K, Spain DA, et al (2012). Predictors of emergency department death for patients presenting with ruptured abdominal aortic aneurysms. J. Vasc. Surg. 56:651-655.
Norman PE, Jamrozik K, Lawrence-Brown MM, Le MT, Spencer CA, Tuohy RJ, et al (2004). Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ. 329:1259.
Sakamaki F, Oya H, Nagaya N, Kyotani S, Satoh T, Nakanishi N (2002). Higher prevalence of obstructive airway disease in patients with thoracic or abdominal aortic aneurysm. J. Vasc. Surg. 36:35-40.
Taylor L, Porter LM (1980). Basic data releated to clinical decision – making in abdominal aortic aneurysm. Ann. Vasc. Surg. 1:502-504.
Thompson SG, Ashton HA, Gao L, Buxton MJ, Scott RA; Multicentre Aneurysm Screening Study (MASS) Group (2012). Final follow-up of the Multicentre Aneurysm Screening Study (MASS) randomized trial of abdominal aortic aneurysm screening. Br. J. Surg. 99:1649-1656.
Thompson SG, Ashton HA, Gao L, Scott RAP (2009). Screening men for abdominal aortic aneurysm: 10 year mortality and cost effectiveness results from the randomised Multicentre Aneurysm Screening Study. BMJ. 338: b2307.
U.S. Preventive Services Task Force (2005). Screening for abdominal aortic aneurysm: recommendation statement. Ann. Intern. Med. 142:198.
US Preventive Services Task Force (2014). Screening for abdominal aortic aneurysm: U.S. preventive services task force recommendation statement. Ann. Intern. Med. 161:281-290.
- Eyupserhat Calik on Google Scholar
- Eyupserhat Calik on Pubmed
- Umit Arslan on Google Scholar
- Umit Arslan on Pubmed
- Bilgehan Erkut on Google Scholar
- Bilgehan Erkut on Pubmed
- Azman Ates on Google Scholar
- Azman Ates on Pubmed