Clinical Experience of Abdominal Aortic Aneurysm.
- Author:
Young Tae KWAK
1
;
Sang Hyun LIM
;
Sak LEE
;
Kyung Jong YOO
;
Byung Chul CHANG
;
Meyun Shick KANG
;
Yoo Sun HONG
Author Information
1. Division of Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Aortic aneurysm, abdomen
- MeSH:
Aneurysm;
Aortic Aneurysm, Abdominal*;
Female;
Follow-Up Studies;
Humans;
Incidence;
Male;
Mortality;
Risk Factors;
Rupture;
Survival Rate;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(4):261-266
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Surgery of abdominal aortic aneurysm revealed high operative mortality. We reviewed our 11-years' experiences of abdominal aortic aneurysm operation and wish to obtain information on the treatment. MATERIAL AND METHOD: From Jan. 1990 to Dec. 2000, 48 patients were operated due to abdominal aortic aneurysm in Yonsei Cardiovascular Center. Mean age was 62.8+/-12.7 and there were 40 males and 8 females. Among 48 patients, nine patients had ruptured abdominal aortic aneurysm, and mean aneurysm diameter of non-ruptured cases was 8.8+/-2.4 cm. RESULT: There were 6 early deaths, and early mortality was 12.5%. Among 9 patients of preoperative aneurysm rupture, three patients died (33.3%), and among 39 patients of non-ruptured cases, 3 patients died (7.7%). Among preoperative variables, age (p<0.05), preoperative BUN level (p<0.05), and DM (p<0.05) were risk factors of early mortality. Among discharged 42 patients, 40 patients were followed up (f/u rate=95.2%) and mean follow up was 3.6+/-0.2 years. During follow up periods, five patients died (late mortality=11.9%), and Kaplan-Meier survival analysis revealed 81.7+/-7.6% survival rate at five and ten year. Linealized incidence of graft related event was 3.53% per patient-year. CONCLUSION: Surgical mortality of ruptured abdominal aortic aneurysm was higher than non-ruptured cases; therefore, early resection of the aneurysm can decrease the surgical mortality.
