Il trattamento chirurgico degli aneurismi dell'aorta toraco-addominale: Nostra esperienza

Translated title of the contribution: Thoracoabdominal aortic aneurysm surgery: Personal experience

A. Odero, S. Pirrelli, V. Arici, A. De Troia, M. Lovotti

Research output: Contribution to journalArticlepeer-review

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 contributionThoracoabdominal aortic aneurysm surgery: Personal experience
Original languageItalian
Pages (from-to)65-80
Number of pages16
JournalGiornale Italiano di Chirurgia Vascolare
Volume9
Issue number1
Publication statusPublished - 2002

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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