Surgical Treatment of the Aortic Aneurysm.
- Author:
Hak Jae KIM
1
;
Won Min JO
;
Tae Sik KIM
;
Song Ahm LEE
;
Oug Jin KIM
;
Young Sang SON
;
Young Ho CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Aortic Aneurysm
- MeSH:
Acute Kidney Injury;
Aneurysm;
Aneurysm, Dissecting;
Aorta;
Aortic Aneurysm*;
Aortic Aneurysm, Abdominal;
Aortic Aneurysm, Thoracic;
Blood Pressure;
Cause of Death;
Chest Pain;
Dyspnea;
Follow-Up Studies;
Heart Rate;
Hemorrhage;
Humans;
Incidence;
Marfan Syndrome;
Melena;
Mortality;
Prognosis;
Respiratory Insufficiency;
Retrospective Studies;
Survivors;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(1):13-19
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic aneurysm has poor prognosis and high mortality, but the incidence of aortic aneurysm is in increasing state. From July, 1986 to July, 1996, we operated on 25 patients with aortic aneurysm and analysed the clinical results and relations between the duration from symptoms onset to operation (Sx-Op), the duration from admission to operation (Adm-Op), preoperative blood pressure, preoperative heart rate and postoperative mortality, retrospectively. The patients were classified as dissecting aneurysm (10 cases), abdominal aortic aneurysm (9 cases), Marfan's syndrome (3 cases), descending thoracic aortic aneurysm (3 cases). The operative technique were graft interposition in 17 cases, Bentall's operation in 4 cases, aneurysm bypass in 2 cases, and wrapping of aorta in 2 cases. Seven patients died of several causes, bleeding in 5 cases, acute renal failure in 1 case and respiratory failure in another one case. Before 1992, the early stage of operation, 6 mortality among 14 operated patients occurred, and after then 1 mortality among 11 operated patients occurred. Eighteen survivors were followed up from 1 to 118 months (mean 50.6 months), and total follow up was 911 patient-months. During the follow up period one patient died of melena 30 months after operation. The other patients did not complain chest pain or dyspnea. The surgical mortality was improved in the late period, and the major cause of death was intraoperative or postoperative bleeding. The Sx-Op duration, the Adm-Op duration, preoperative blood pressure and preoperative heart rate were proven to have no statistical relations with postoperative mortality.
