Rüptüre aort anevrizma tamiri cerrahisi sonrası gelişen major komplikasyonların mortalite üzerine etkisi

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.