Contemporary results for open repair of suprarenal and type IV thoracoabdominal aortic aneurysms
| Autor: | Roderick T.A. Chalmers, Alastair F. Nimmo, J. A. Murie, P. A. Hansen, C. R. Moores, J. M. J. Richards |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Constriction Aortic aneurysm Postoperative Complications Aneurysm medicine.artery medicine Humans Aged Aged 80 and over Aorta Aortic Aneurysm Thoracic business.industry Mortality rate Length of Stay Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Abdomen Female Complication Paraplegia business |
| Zdroj: | British Journal of Surgery. 97:45-49 |
| ISSN: | 1365-2168 0007-1323 |
| Popis: | Background Endovascular and hybrid procedures are not yet widely established in the management of type IV thoracoabdominal aortic aneurysm (TAAA). Open surgery remains the treatment of choice until the long-term outcomes of these novel techniques are known. Methods This study reviewed a 10-year experience of open repair of non-ruptured type IV and suprarenal TAAA. All procedures were performed using a totally abdominal approach with supracoeliac clamping of the aorta. Results There were 53 patients (31 men; 58 per cent) of median age 69 (range 54–82) years. Forty-four patients had a type IV TAAA and nine a suprarenal aneurysm. Three patients (6 per cent) died within 30 days and the 12-month mortality rate for patients followed for at least 1 year was 6 per cent (three of 49). Ten patients (19 per cent) had a cardiac complication, 20 (38 percent) a respiratory complication, three (6 percent) required early reoperation, and one patient (2 percent) developed permanent paraplegia. There was one late death resulting from an aneurysm-related complication. Conclusion Open repair of suprarenal aneurysms and type IV TAAA may be undertaken using a totally abdominal approach with acceptable levels of morbidity and mortality. |
| Databáze: | OpenAIRE |
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