Impacts of major complications seen after ruptured abdominal aortic aneurysm repair surgery over mortality

Cengiz Şahutoğlu; Pelin Öztürk

doi:10.19161/etd.418131

Araştırma Makalesi

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

Yıl 2019, Cilt: 58 Sayı: 2, 103 - 107, 28.06.2019

Cengiz Şahutoğlu Pelin Öztürk

https://doi.org/10.19161/etd.418131

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

Anestezi, böbrek yetmezliği, komplikasyon, mortalite, rüptüre abdominal aort anevrizması.

Kaynakça

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