Related Experiment Videos
The juxtarenal abdominal aortic aneurysm. A more common problem than previously realized?
S M Taylor1, J L Mills, R M Fujitani
1Department of Surgical Education, Greenville Hospital System, SC.
Archives of Surgery (Chicago, Ill. : 1960)
|July 1, 1994
Summary
Juxtarenal aortic aneurysms occur in 15.5% of infrarenal aortic aneurysmectomies. Surgical management is feasible with no operative deaths, though morbidity exists, and late survival is favorable.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
Background:
- Juxtarenal aortic aneurysms present unique surgical challenges.
- Minimally biased data is crucial for understanding their true incidence and outcomes.
Purpose of the Study:
- To determine the incidence of juxtarenal aortic aneurysms.
- To evaluate the treatment outcomes of juxtarenal aneurysmectomy in a community vascular practice.
Main Methods:
- Retrospective review of 174 infrarenal aortic aneurysmectomies over 5 years.
- Analysis of 27 cases involving the juxtarenal aorta, including operative techniques and outcomes.
- Comparison with historical controls.
Main Results:
- Juxtarenal aortic aneurysms accounted for 15.5% of cases.
- No operative mortality was observed.
- Surgical morbidity was 19%, with 7% transient renal failure; 89% late survival.
Conclusions:
- Juxtarenal aortic aneurysms are a significant subset of infrarenal aortic aneurysms.
- Successful surgical management is achievable in non-tertiary referral settings.