Diagnosis and surgical treatment of abdominal aortic aneurysm:a report of 96 cases
- VernacularTitle:腹主动脉瘤96例的诊断与手术治疗
- Author:
Shifang YUAN
;
Ling WANG
;
Jiefang BIAN
;
Rui LING
;
Qing YAO
;
Zhong MA
;
Mofan NING
- Publication Type:Journal Article
- Keywords:
Aortic Aneurysms,Abdominal/diag;
Aortic Aneurysms,Abdominal/surg
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the diagnosis, selection of type of operation, and prevention and treatment of perioperative complications of abdominal aortic aneurysm (AAA). Methods The clinical data of 96 (patients) who underwent open surgical treatment of AAA, at Xijing Hospital between January, 1990 and June, 2004 were retrospectively reviewed. Among those, 82 patients with infrarenal AAA underwent aneurysmectomy and graft repair. 12 cases were treated by aneurysmal wrapping with Dacron. In 2 patients with suprarenal false AAA, lateral aneurysmectomy and repair was performed. Results The distance between renal artery and the neck of the aneurysm was determined by arteriography, MRA or EBT. Ninty-three patients were cured, and three cases died, with an operative mortality of 3.1%(3/96). The operative mortality was 50.0%(2/4) in 4 cases who had urgent operation because of ruptured AAA, while the operative mortality rate of the cases undergoing elective surgical repair was 1.1%(1/92, P
