Abstract
Background. The surgical repair of thoracoabdominal aneurysms presents early and late complications related to organ complications like renal failure, paraparesis/paraplegia and multi-organ failure (MOF). Methods. Out of a total 1377 operated aortic aneurysms over a 10-year period, we made a retrospective study of 79 cases of thoracoabdominal aneurysms. Patients showed the following distribution pattern in terms of anatomic-surgical extension: 22 (28%) type 1, 31 (40%) type 2,14 (18%) type 3 and 12 (14%) type 4 according to Crawford's classification. A total of 20 cases underwent emergency surgery (25%), 15 (15.6%) with rupture and 5 (5.2%) with fissuration of the aneurysm. By dividing the study period into two 5-year phases (1991-1995: 33 patients, and 1996-2001: 46 patients), the mortality rate for elective surgery fell from 30% in the first period to 8% in the second. The mortality rate for emergency surgery remained high over both periods: 60%. Results. Univariate analysis (χ2 test and Mann Whitney's U test) showed a significant correlation between the outcome of surgery and the type of admission (p=0.01), female sex (p
| Translated title of the contribution | Thoracoabdominal aortic aneurysm surgery: Personal experience |
|---|---|
| Original language | Italian |
| Pages (from-to) | 65-80 |
| Number of pages | 16 |
| Journal | Giornale Italiano di Chirurgia Vascolare |
| Volume | 9 |
| Issue number | 1 |
| Publication status | Published - 2002 |
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine