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Related Experiment Videos

Abdominal aortic aneurysm, an absolute surgical indication?

K Dossche1, M Hessmann, F Wellens

  • 1Departement Cardiovascular Surgery, Onze Lieve Vrouwziekenhuis, Aalst, Belgium.

Acta Chirurgica Belgica
|July 1, 1994
PubMed
Summary
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Emergency surgery for abdominal aortic aneurysms carries significantly higher early mortality and complication rates compared to elective procedures. Long-term survival is similar, with cardiac issues and cancer being leading causes of death.

Area of Science:

  • Vascular Surgery
  • Aortic Aneurysm Research
  • Public Health

Background:

  • Infrarenal abdominal aortic aneurysms (AAA) pose significant health risks.
  • Surgical intervention is a primary treatment modality for AAA.
  • Understanding outcomes for elective versus emergency AAA surgery is crucial for patient management.

Purpose of the Study:

  • To compare outcomes of elective (EL) versus emergency (EM) surgery for infrarenal abdominal aortic aneurysm.
  • To analyze early mortality, postoperative complications, and long-term survival.
  • To identify causes of late mortality after AAA repair.

Main Methods:

  • Retrospective review of 155 patients undergoing infrarenal AAA surgery between January 1986 and October 1991.
  • Comparison of patient demographics, aneurysm characteristics, and perioperative data between EL and EM groups.

Related Experiment Videos

  • Analysis of 5-year follow-up data for mortality and causes of death.

    • Main Results:

    • Emergency surgery patients were older and presented with larger aneurysms and more symptoms (shock, pain) than elective patients.
    • Early mortality was significantly higher in the EM group (23%) compared to the EL group (3.6%).
    • Major postoperative complications were also significantly more frequent in the EM group (55%) versus the EL group (13%).

    Conclusions:

    • Emergency AAA surgery is associated with substantially higher early risks than elective surgery.
    • Long-term survival rates were not significantly different between EL and EM groups at 5 years.
    • Cardiac disease and cancer were the primary causes of late mortality in the overall cohort.