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: bilgehanerkut@yahoo.com; Phone: 00904423448899; Cell: 00905337451006 

Accepted 18 May, 2018 

Abstract

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. 

 

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