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Chirurgische therapie des bauchaortenaneurysmas

Surgical repair of the abdominal aortic aneurysm

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Zusammenfassung

Retrospektive analyse von 121 patienten, die konsekutiv wegen eines bauchaortenaneurysmas (BAA) operiert wurden.

Die indikation war in 80% ein asymptomatisches, in 20% ein rupturierendes BAA. 69,5% aller patienten wurden in den letzten 5 jahren behandelt. Eine gegenüberstellung aus den oben genannten zeitperioden zeigte die perioperative Letalität beim rupturierenden BAA von 100% bzw. 50%, beim elektiven 18,7% bzw. 14,7%. Ein hoher anteil (77,9%) war mit 1, 29,4% mit 2 oder mehreren risikofaktoren belastet. Die standardisierung der operationstechnik und zunehmende erfahrung mit dem perioperativen monitoring haben in den letzten 2 jahren zur reduzierung der perioperativen Letalität beim elektiven BAA auf 3,3% geführt.

Summary

A retrospective study was carried out on 121 consecutive patients with abdominal aortic aneurysm (AAA) treated surgically. Indication for operation was in 80% asymptomatic, in 20% ruptured aneurysm. 69.5% of patients were operated in the past 5 years. Postoperative mortality rate was 100% and 50% respectively for ruptured AAA, 18.7% and 14.7% respectively for elective repair. Standardized operative technique and accurate perioperative monitoring reduced our current postoperative mortality to 3.3%.

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Authors and Affiliations

  1. I. Chirurgische Universitätsklinik, Alser Straße 4, A-1090, Wien

    I. Huk, R. Schabus, G. Kretschmer, P. Polterauer, O. Wagner & F. Piza

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  1. I. Huk
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  2. R. Schabus
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  3. G. Kretschmer
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  4. P. Polterauer
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  5. O. Wagner
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  6. F. Piza
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Huk, I., Schabus, R., Kretschmer, G. et al. Chirurgische therapie des bauchaortenaneurysmas . Acta Chir Austriaca 18, 499–501 (1986). https://doi.org/10.1007/BF02656386

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  • DOI: https://doi.org/10.1007/BF02656386

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