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Original Articles
NUMBER 3-4 YEAR 2011
Surgical Management of Infrarenal Aortic Aneurysm - a Single Center one Year Experience
Vascular Surgery Unit, St. Johannes Hospital, Duisburg, Germany

Correspondence to:
Dr. med. Claudiu Rascanu, Klinik für Gefäßchirurgie, St. Johannes Hospital,
An der Abtei 7-11, 47166 Duisburg, Germany,
Tel. +49-203-546-2551
Email: c.rascanu@kkd.de
REZUMAT
Introducere: A fost efectuata o analiza retrospectiva a 42 de cazuri de anevrisme aortice infrarenale care au fost operate in anul 2008 in unitatea noastra. Material si metode: Au fost analizate datele demografice ale pacientilor, tehnica operatorie, complicatiile potoperative, durata tratamentului pe sectia de terapie intensive (STI), durata spitalizarii si mortalitatea perioperativa. Rezultate: In grup au fost incluse 2 anevrisme rupte, 9 anevrisme simptomatice si 31 asimptomatice. In 11 cazuri tratamentul a fost endovascular (EVAR) si in 31 de cazuri operativ conventional. Marea majoritate a celor 31 de anevrisme operate conventional nu au fost din punct de vedere anatomic compatibile cu EVAR. Un caz de anevrism perforat a fost tratat cu o endoproteza aorto-monoiliacala si cu un pontaj femoro-femoral, iar cel de al doilea caz a fost operat conventional. In timp ce in grupul EVAR nu a fost inregistrat nici un deces, in grupul pacientilor operati deschis s-a inregistrat o mortalitate de 6,45%. Concluzii: In grupul de pacienti luati in studiu, tratamentul anevrismelor abdominale prin EVAR s-a dovedit superior operatiilor conventionale, deschise, in ce priveste rata complicatiilor postoperatorii si mortalitatea.

ABSTRACT
Background: We studied retrospectively 42 repairs for infrarenal aortic aneurysm performed during the year 2008 in our vascular surgery unit. Material and methods: The demographic data of the patients, the operative technique, the postoperative complications, the length of staying on ICU and in the hospital and the perioperative mortality have been retrospectively investigated. Results: In the whole cohort there were 2 ruptured, 9 symptomatic and 31 asymptomatic infrarenal aneurysms. Eleven of these procedures were endovascular repairs (EVAR) and 31 open repairs (OAR). The majority of all 31 OAR were anatomically not suitable for EVAR. One of the patients with a ruptured aneurysm was treated with an aorto-monoiliac endograft and with a crossover bypass. The other one underwent open surgery. In the EVAR group was no case of perioperative death, while in the OAR group there was recorded a 6.45% perioperative mortality rate. Conclusions: In the studied group of patients, the treatment of aortic aneurysms elective EVAR has proved itself superior to OAR in terms postoperative complications and mortality.


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