Rüptüre aort anevrizma tamiri cerrahisi sonrası gelişen major komplikasyonların mortalite üzerine etkisi
Öz
Aim: To present our management approach, complications, and mortality-related risk factors in patients diagnosed with ruptured abdominal aortic aneurysm (RAAA) who underwent open surgery.
Materials and Methods: The charts of 39 patients with RAAA who underwent open surgery between September 2010 and August 2015 were reviewed retrospectively. Study population was divided into two groups; Group-1 (n=14) consisted of cases who died within 30 days after surgery and Group-2 (n=25) consisted of the survivors. Pre-, intra-, and postoperative factors related to mortality and morbidity were noted and statistically analyzed.
Results: Of the 39 patients with a mean age of 68.9±9.5 years, 37 (94.9%) were males. Twelve patients with hypovolemic shock (30.8%) were taken into operation; and 56.4% of all study participants had infrarenal aneurysms. A total of 69.2% of the patients developed at least one complication, while 38.5% developed two or more complications. Two patients (5.1%) died in the intraoperative period, whereas 12 (30.8%) died within 30 days after the operation. Intraoperative aortic cross-clamp time being over than 40 minutes, development of cardiac complications or acute renal failure, and sepsis were found to be independent risk factors related with mortality.
Conclusion: Our study results showed that preoperative hemodynamic regulation, shortening of aortic cross-clamp time and strict adherence to sterilization guidelines can reduce morbidity and mortality rates in cases with RAAA underwent repair surgery.
Anahtar Kelimeler
References
- Kim IH, Kim DI, Huh SH, Lee SJ, Lee BB. Factors that affect the survival rate of ruptured abdominal aortic aneurysm. J Korean Soc Vasc Surg 2001;17(2):199-202.
- Noel AA, Gloviczki P, Cherry KJ Jr, et al. Ruptured abdominal aortic aneurysms: The excessive mortality rate of conventional repair. J Vasc Surg 2001;34(1):41-6.
- Davies RS, Dawlatly S, Clarkson JR, Bradbury AW, Adam DJ. Outcome in patients requiring renal replacement therapy after open surgical repair for ruptured abdominal aortic aneurysm. Vasc Endovascular Surg 2010;44(3):170-3.
- Scarcello E, Ferrari M, Rossi G, et al. A new preoperative predictor of outcome in ruptured abdominal aortic aneurysms: the time before shock (TBS). Ann Vasc Surg 2010;24(3):315-20.
- Halpern VJ, Kline RG, D’Angelo AJ, Cohen JR. Factors that af¬fect the survival rate of patients with ruptured abdominal aortic aneurysms. J Vasc Surg 1997;26(6):939-45.
- Leonard A, Thompson J. Anaesthesia for ruptured abdominal aortic aneurysm. Contin Educ Anaesth Crit Care Pain 2008;8(1):11-5.
- Kauvar DS, Sarfati MR, Kraiss LW. Intraoperative blood product resuscitation and mortality in ruptured abdominal aortic aneurysm. J Vasc Surg 2012;55(3):688-92.
- Cho MJ, Yoon HJ, Park JY, Huh S, Kim YW. The risk factors influencing postoperative mortality in the patients with ruptured abdominal aortic aneurysm. J Korean Soc Vasc Surg 2004;20(2):208-13.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
June 28, 2019
Submission Date
March 25, 2018
Acceptance Date
April 5, 2018
Published in Issue
Year 1970 Volume: 58 Number: 2