One Hundred and One Open Abdominal Aortic Aneurysm Repairs: 5 Years’ Experience at Lampang Regional Hospital, Thailand
Keywords:
Abdominal aortic aneurysm, open abdominal aortic aneurysm repairAbstract
Objective: To delineate the natural presentation of abdominal aortic aneurysm (AAA) patients in LampangRegional hospital and audit the results of open AAA repair performed by one surgeon over a 5-year period.
Methods: A survey of 101 consecutive AAA patients during August 2005 and August 2010 was performed.
Outcomes included hospital death, major complication, co-morbidity and causes of death after AAA repair.
Results: Among the 101 AAA patients, 66 (65%) underwent elective repair. Nine (9%) cases had ruptured AAA
(1 case of free rupture, 8 cases of contained rupture). Twenty-six (26%) patients underwent urgent repair for the
symptomatic AAA, including 7 (27%) with distal embolization causing limb and toe gangrene that required further
amputation, 5 (19%) with aortoenteric fistula, 1 (3%) with thrombosed AAA, 6 (23%) with inflammatory AAA, 5 (19%)
with infected AAA, 2 (7%) with infected previous aortic graft, and 3 (11.5%) with painful AAA of unknown cause.
The 30-day hospital deaths included 2 patients (3%) in the elective group, 1 (100%) with free rupture, 2 (25%) with
contained rupture and 3 (12%) in the urgent group. Major causes of death in 8 patients included 4 (50%) from
ischemic heart disease, 2 (25%) from acute renal failure and 2 (25%) from respiratory failure due to chronic
obstructive pulmonary disease (COPD).
Conclusions: The most significant comorbidity and cause of death of patients after AAA repair included
ischemic heart diseases, renal failure and COPD.
References
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aneurysm. Minerva Cardioangiol 1997;45:471-6.
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aortic aneurysm operations-the results of a single surgeon
series of 243 consecutive operations from a district general
hospital. Ann R Coll Surg Engl 2000;82:64-8.
12. Kazmers A, Perkins AJ, Jacobs LA. Outcome after abdominal
aortic aneurysm repair in those more than 80 years of
age: Recent veterans affairs experience. Ann Vasc Surg
1998;12:106-12.
aneurysm. Lancet 2005;365:1577-89.
2. Witz M, Korzets Z. Inflammatory abdominal aortic aneurysm.
Isr Med Assoc J 2005;7:385-7.
3. Darling RC. Rupturedarterioscleroticabdominal aortic
aneurysm. Am J Surg 1970;119:397
4. Szilagyi DE, Elliott JP, Smith RF. Clinical fate of the patient with
asymptomatic abdominal aortic aneurysm and unfit for
surgical treatment. Arch Surg 1972;104:600-6.
5. UK National Screening Committee. NHS Abdominal Aortic
Aneurysm Screening Programme. London: Department of
Health, 2012.
6. Sandison AJP, Panayiotopoulos Y, Edmonson RC, Tyrrell MR,
Taylor PR. A 4 year prospective audit of the cause of death
after infrarenal aortic aneurysm surgery. Br J Surg 1996;83:
1386-9.
7. Bloor K, Humphreys WV. Aneurysms of the abdominal aorta.
Br J Hosp Med 1979;21:568.
8. Scott A, Baillie CT, Sutton GL, Smith A, Bowyer RC. Audit of
200 consecutive aortic aneurysm repairs carried out by a
single surgeon in a district general hospital: result of surgery
and factor affecting outcome. Ann R Coll Surg Engl 1992;
74:205-10
9. Lloyd WE, Paty PS, Darling RC, et al. Results of 1000
consecutive elective abdominal aortic aneurysm repairs.
Cardiovasc Surg 1996;4:724-6.
10. Simoni G, Borsetto M, Nanni A, Copello F. Analysis of risk
factors in patients operated on for abdominal aortic
aneurysm. Minerva Cardioangiol 1997;45:471-6.
11. Humphreys WV, Byrne J, James W. Elective abdominal
aortic aneurysm operations-the results of a single surgeon
series of 243 consecutive operations from a district general
hospital. Ann R Coll Surg Engl 2000;82:64-8.
12. Kazmers A, Perkins AJ, Jacobs LA. Outcome after abdominal
aortic aneurysm repair in those more than 80 years of
age: Recent veterans affairs experience. Ann Vasc Surg
1998;12:106-12.
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Published
2013-06-28
How to Cite
1.
Chantip A. One Hundred and One Open Abdominal Aortic Aneurysm Repairs: 5 Years’ Experience at Lampang Regional Hospital, Thailand. Thai J Surg [Internet]. 2013 Jun. 28 [cited 2024 Nov. 22];34(2). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226670
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