Factors Affecting Survival and Long-term Results in Cases Operated for Ruptured Abdominal Aortic Aneurysms.
10.4326/jjcvs.23.186
- VernacularTitle:破裂性腹部大動脈りゅう症例の検討 手術成績に関連の因子と遠隔予後の検討
- Author:
Yukinori Moriyama
;
Hitoshi Toyohira
;
Hideaki Saigenji
;
Shinji Shimokawa
;
Masahiko Hashiguchi
;
Akira Taira
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1994;23(3):186-190
- CountryJapan
- Language:Japanese
-
Abstract:
Elective resection of abdominal aortic aneurysms is now a safe operation, though mortality related to ruptured abdominal aortic aneurysm (rAAA) remains high. To evaluate factors affecting survival after rAAA, 26 consecutive cases were studied. The operative mortality was 58% (15/26) compared with 1.8% for 110 elective AAA patients. Factors associated with poor prognosis were blood pressure of less than 90mmHg and profound acidosis of the arterial blood on admission, size of the aneurysm, and massive transfusion. The high mortality and morbidity rate for the rAAA patient emphasize the need for early and aggressive treatment of AAA in elective cases at high risk. In a follow-up study, however, the survival rate of rAAA, excluding hospital mortality, was 71% at five years and there was no significant difference in quality of life as compared with those patients who had elective AAA resection during the same time interval.
