Year 2019, Volume 58, Issue 2, Pages 103 - 107 2019-06-28

Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality
Rüptüre aort anevrizma tamiri cerrahisi sonrası gelişen major komplikasyonların mortalite üzerine etkisi

Cengiz Şahutoğlu [1] , Pelin Öztürk [2]

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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.

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.

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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0002-2664-4459
Author: Cengiz Şahutoğlu (Primary Author)
Institution: Ege University Faculty of Medicine, Department of Anesthesiology and Reanimation, İzmir
Country: Turkey


Orcid: 0000-0002-7962-4363
Author: Pelin Öztürk
Institution: Ege University Faculty of Medicine, Department of Cardiovascular Surgery, İzmir
Country: Turkey


Dates

Publication Date: June 28, 2019

Bibtex @research article { etd418131, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {Ege University}, year = {2019}, volume = {58}, pages = {103 - 107}, doi = {10.19161/etd.418131}, title = {Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality}, key = {cite}, author = {Şahutoğlu, Cengiz and Öztürk, Pelin} }
APA Şahutoğlu, C , Öztürk, P . (2019). Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality. Ege Tıp Dergisi, 58 (2), 103-107. DOI: 10.19161/etd.418131
MLA Şahutoğlu, C , Öztürk, P . "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality". Ege Tıp Dergisi 58 (2019): 103-107 <http://egetipdergisi.com.tr/issue/44438/418131>
Chicago Şahutoğlu, C , Öztürk, P . "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality". Ege Tıp Dergisi 58 (2019): 103-107
RIS TY - JOUR T1 - Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality AU - Cengiz Şahutoğlu , Pelin Öztürk Y1 - 2019 PY - 2019 N1 - doi: 10.19161/etd.418131 DO - 10.19161/etd.418131 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 103 EP - 107 VL - 58 IS - 2 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.418131 UR - https://doi.org/10.19161/etd.418131 Y2 - 2018 ER -
EndNote %0 Ege Journal of Medicine Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality %A Cengiz Şahutoğlu , Pelin Öztürk %T Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality %D 2019 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 58 %N 2 %R doi: 10.19161/etd.418131 %U 10.19161/etd.418131
ISNAD Şahutoğlu, Cengiz , Öztürk, Pelin . "Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality". Ege Tıp Dergisi 58 / 2 (June 2019): 103-107. https://doi.org/10.19161/etd.418131
AMA Şahutoğlu C , Öztürk P . Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality. Ege Tıp Dergisi. 2019; 58(2): 103-107.
Vancouver Şahutoğlu C , Öztürk P . Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality. Ege Tıp Dergisi. 2019; 58(2): 107-103.