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[Open surgery of abdominal aortic aneurysm]
Eivind Jullumstrø1, Anders Nordgård, Steinar Solberg
1Det medisinske fakultet Universitetet i Tromsø 9038 Tromsø.
Summary
Open surgical repair of abdominal aortic aneurysms showed comparable results to other reports. Mortality rates varied by surgical urgency, with elective repair having the lowest risk.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Treatment
- Surgical Outcomes
Background:
- Open surgical treatment for abdominal aortic aneurysms (AAA) is a significant intervention.
- Evaluating long-term outcomes of AAA repair is crucial for patient management.
Purpose of the Study:
- To assess the results of open surgical treatment for infrarenal abdominal aortic aneurysms.
- To analyze trends in AAA surgery and patient characteristics over time.
Main Methods:
- Retrospective analysis of 581 patients undergoing open AAA repair.
- Data collected from Tromsø University Hospital between 1980 and 1998.
Main Results:
- Increased frequency of elective AAA operations and co-morbidities observed.
- Higher mean body mass index in electively operated patients over time.
- Operative mortality rates: 7.6% (elective), 9.8% (impending rupture), 40% (ruptured).
Conclusions:
- Surgical outcomes for abdominal aortic aneurysms are comparable to existing literature.
- Urgency of repair significantly impacts operative mortality.