Surgical Treatment of Aortic Aneurysms in Hemodialysis Patients.
10.4326/jjcvs.23.433
- VernacularTitle:胸部または腹部大動脈りゅうを発症した血液透析患者の4手術例
- Author:
Shin Yamamoto
;
Shiro Sasaguri
;
Yasuyuki Hosoda
;
Kenji Takazawa
;
Norio Kikuchi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1994;23(6):433-436
- CountryJapan
- Language:Japanese
-
Abstract:
Surgical treatment of two abdominal and two thoracic aneurysms in hemodialysis patients were performed from 1991 to 1993. Two elective cases survived, but two emergency cases died. The causes of death were PMI and respiratory failure. Ruptured aneurysms are critical and probably result in higher mortality and morbidity than elective replacement of aneurysms. In view of the documented risk of rupture and current operative risk, we believe that elective surgical treatment of aneurysm is a much better treatment than following the aneurysms until they produce symptoms or significantly enlarge.