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Abdominal aortic aneurysms: recent experience with 210 patients.

R J Baird, J F Gurry, J F Kellam

    Canadian Medical Association Journal
    |May 20, 1978
    PubMed
    Summary

    Surgery for abdominal aortic aneurysms showed higher mortality for ruptured cases. Unruptured aneurysm surgery had lower risks, but urgent cases still posed significant hazards. Standardized procedures are recommended.

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    Area of Science:

    • Cardiovascular Surgery
    • Vascular Surgery
    • Surgical Outcomes

    Background:

    • Abdominal aortic aneurysms (AAAs) pose significant health risks.
    • Surgical intervention is a primary treatment modality for AAAs.
    • Outcomes vary based on aneurysm status (ruptured vs. unruptured) and urgency.

    Purpose of the Study:

    • To analyze surgical outcomes for abdominal aortic aneurysms.
    • To investigate factors influencing mortality and morbidity in AAA repair.
    • To advocate for standardized surgical techniques in AAA management.

    Main Methods:

    • Retrospective analysis of 210 patients undergoing AAA repair at Toronto Western Hospital (1970-1977).
    • Categorization of aneurysms into ruptured and unruptured groups.

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  • Analysis of hospital mortality and morbidity based on aneurysm status and symptoms.

    • Main Results:

    • Overall hospital mortality for ruptured AAAs was 54%, compared to 5.6% for unruptured AAAs.
    • Mortality for unruptured AAAs varied: 1.2% (asymptomatic), 7.4% (symptomatic), and 17.0% (urgent).
    • Higher mortality rates were observed in older patients and those with ruptured aneurysms.

    Conclusions:

    • Surgical repair of ruptured abdominal aortic aneurysms carries a high mortality risk.
    • While unruptured AAA repair is generally safer, urgency and symptoms increase operative hazards.
    • Standardization of surgical techniques and adequate assistance are crucial for improving AAA repair outcomes.