ObjectiveTo review retrospectively our experience of the diagnosis and surgical treatment in patients with abdominal aortic aneurysm(AAA).MethodsThe diagnosis and surgical treatment in 72 patients 〔62 men, 10 women; mean age (67.5±9.3) years)〕 with AAA from January 1995 to February 2004 were analyzed. Fifty-eight patients with infrarenal AAA and 2 patients with suprarenal AAA underwent elective graft replacement operation; 12 patients with ruptured AAA underwent urgent graft replacement operation. ResultsFiftyeight patients with infrarenal AAA and 2 patients with suprarenal AAA were cured and 2 patients with infrarenal AAA died of multiple organ failure after elective graft replacement operation, the 30day mortality rate in patients with infrarenal AAA after elective operation was 3.45%. Seven patients were cured and 5 patients died of multiple organ failure after urgent graft replacement operation, the 30-day mortality rate was 41.67%. ConclusionThe elective graft replacement operation in patients with AAA is a safe and effective surgical approach under the improvement of surgical technique and management of perioperative period.
Citation：
ZHAO Jichun,MA Yukui,WANG Jing,JIN Liren.. Diagnosis and Surgical Treatment of Abdominal Aortic Aneurysm in 72 Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(4): 307-310. doi:
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- 1. Hertzer NR, Mascha EJ, Karafa MT, et al. Open infrarenal abdominal aortic aneurysm repair: the Cleveland Clinic experience from 1989 to 1998 [Ｊ]. J Vasc Surg, 2002; 35(6)∶ 1145.
- 2. Bown MJ, Sutton AJ, Bell PR, et al. A metaanalysis of 50 years of ruptured abdominal aortic aneurysm repair [Ｊ]. Br J Surg, 2002; 89(6)∶714.
- 3. Huber TS, Wang JG, Derrow AE, et al. Experience in the United States with intact abdominal aortic aneurysm repair [Ｊ]. J Vasc Surg, 2001; 33(2)∶304.
- 4. Nicholls SC, Gardner JB, Meissner MH, et al. Rupture in small abdominal aortic aneurysms [Ｊ]. J Vasc Surg, 1998; 28(5)∶884.
- 5. HassenKhodja R, Sala F, Bouillanne PJ, et al. Impact of aortic diameter on the outcome of surgical treatment of abdominal aortic aneurysm [Ｊ]. Ann Vasc Surg, 2001; 15(2)∶136.
- 6. No authors listed. Mortality results for randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. The UK Small Aneurysm Trial Participants [Ｊ]. Lancet, 1998; 352(9141)∶1649.
