Abstract
From 1982 through 1992, 103 patients (mean age: 69 years) underwent an elective repair of an abdominal aortic aneurysm (AAA) at our institution. One or more postoperative complications occurred in 30 patients (29%), with a mortality rate of 1.9%. Factors which were found to be significantly associated with postoperative complications based on an univariate analysis included male sex (P = 0.0082), operation time (P = 0.0006), the size of the aneurysm (P = 0.0045), the amount of blood loss during operation (P = 0.0037), poor lung function (P = 0.0155), and the platelet count (P = 0.0468),. A simple linear regression analysis showed that there were significant correlations among the AAA size, the duration of operation and the amount of blood loss. The age at operation, however, did not influence morbidity or mortality. Complete survival information was obtained in 96 (95%) patients, while the influence of preoperative risk factors on late survival was also examined by the Kaplan-Meier method. The factors influencing long-term survival were determined to be renal dysfunction and age at the time of operation.
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Brown OW, Hollier LH, Pairolero PC, Kazmier FJ, McCready RA (1981) Abdominal aortic aneurysm and coronary artery disease. Arch Surg 116:1484–1489
Thompson JE, Hollier LH, Patman RD, Persson AV (1975) Surgical management of abdominal aortic aneurysm: Factors influencing mortality and morbidity: A 20-year experience. Ann Surg 181:654–661
Crawford ES, Palamara AE, Saleh SA, Roehm JOF Jr (1979) Aortic aneurysm: current status of surgical treatment. Surg Clin North Am 59:597–636
Johnston KW, Scobie TK (1988) Multicenter prospective study of nonruptured abdominal aortic aneurysm: I. Population and operative management. J Vase Surg 7:69–81
AbuRahma AF, Robinson PA, Boland JP, Lucente FC, Stuart SP, Neuman SS, Hall MD, Hoak BA (1991) Elective resection of 332 abdominal aortic aneurysms in a southern West Virginia community during a recent 5-year period. Surgery 109:244–251
Diehl JT, Cali RF, Hertzer NR, Beven EG (1983) Complications of abdominal aortic reconstruction. An analaysis of perioperative risk factors in 557 patients. Ann Surg 197:49–56
Hollier LH (1986) Surgical management of abdominal aortic aneurysm in the high-risk patient. Surg Clin North Am 66:269–279
O'Donnell TF Jr, Darling RC, Linton RR (1976) Is eighty years too old for aneurysmectomy? Arch Surg 111:1250–1257
Crawford ES, Saleh SA, Babb JW III, Glaeser DH, Vaccaro PS, Silver A (1981) Infrarenal abdominal aortic aneurysm. Factors influencing survival after operation over a 25-year period. Ann Surg 6:699–709
Reigel MM, Hollier LH, Kazmier FJ, O'Brien PC, Pairolero PC, Cherry KJ Jr, Hallett JW (1987) Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms. J Vase Surg 5:227–227
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Moriyama, Y., Toyohira, H., Saigenji, H. et al. A review of 103 cases with elective repair for abdominal aortic aneurysm: an analysis of the risk factors based on postoperative complications and long-term follow-up. Surg Today 24, 591–595 (1994). https://doi.org/10.1007/BF01833721
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DOI: https://doi.org/10.1007/BF01833721