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Year : 2002, Volume : 11, Issue : 2

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THE CLINICAL EXPERIENCE iN ABDOMINAL AORTIC

Okan Okçu, Koray Dural, Kanat Özışık, Erkan Yıldırım, Serdar Han, Makbule Baldemir, Ünal Sakıncı

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Abstract

Purpose: To evaluate the early and late postoperative results of aortoiliac occlusive disease and abdominal aortic aneurysm (AAA) operations that we performed.

Material-Methods: Between 1990 to 2001, 74 patients with aortoiliac occlusive disease and 15 patients with AAA underwent surgical repair in our clinic. 75 (83,1%) of them were male, 14 (15,7%) were female. Except four patients who underwent operation in emergent condition, other patients were evaluated to rule out coronary artery disease (CAD) in preoperative period.

Result: The indication tor operation was claudication in 40 patients, rest pain in 24, ischemic ulcer/gangrene in 10 and aneurysm in 15. CAD was present in 28 (31,4%) patients. Mortality was 50% (2/4) in emergency operations and 5,8% (5/85) in elective procedures.

Conclusion: Early diagnosis and theraphy of aortoiliac occlusive disease and AAA and associated diseases, espe­ cially CAD reduced the mortality and morbidity rates considerably in selectively operated group.

Keywords : Abdominal aortic aneurysm; Aortoiliac occlusive disea; se surgical treatment

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