Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2005 , Vol 14 , Issue 1
INFRARENAL ABDOMINAL AORTIC ANEURYSM AND SURGICAL TREATMENT
Purpose: Abdominal aortic aneurysms are the degenerative diseases which are usually the results of atherosclerotic changes. Their incidence increase as the age increases. In this article we studied the results of surgical procedures which performed elective or ruptured abdominal aortic aneurysms in the infrarenal location.

Methods: Seventy patients with infrarenal abdominal aortic aneurysms underwent to surgery at the Clinic of Cardiovascular Surgery between January 1987 and December 2003. Patients were evaluated retrospectively by age, sex, smoking, symptoms and signs at application, accompanied diseases, diagnostic methods, location and diameter of the aneurysms, surgical techniques and the mortality and morbidity.

Results: Fourty nine of patients were male, twenty one of patients were female, and mean age were 64.5 years. The most common application symptoms were severe abdominal and lower back pain. The mean diameter of aneurysms was 7.1 centimeters. There were infrarenal aortic involvement in twenty patients, infrarenal aortic involvement and both of iliac arteries involvement in fourty seven patients, infrarenal aortic and only one iliac artery involvement in three patients. Tube graft interposition to abdominal aorta were performed in thirty patients, aortobiiliac bypass were performed in nineteen patients, aortobifemoral bypass were performed in eighteen patients, aortic division at the level of the aortic rupture and aorta-right iliac artery bypass in one patient, aortic ligation and right axillofemoral bypass were performed in two patients. Fourty one patients were operated electively, twenty nine patients were operated emergency because of rupture. One patient died in the electively operated group, and seven patients died in the emergency operated group. Total mortality were calculated as eleven percentage (11%).

Conclusion: Abdominal aortic aneurysms were operated successfully with lower mortality and morbidity ratio if appropriate diagnostic methods and appropriate surgical techniques were applied. (Turkish J Vasc Surg 2005;14(1):29-34). Keywords : Aneurysm, Elective Surgery, Rupture

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