Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Publication year range
1.
Arq Bras Cardiol ; 84(4): 292-6, 2005 Apr.
Article in Portuguese | MEDLINE | ID: mdl-15880201

ABSTRACT

OBJECTIVE: To prospectively assess early and late morbidity and mortality of patients undergoing elective surgical repair of abdominal infrarenal aortic aneurysms and to determine the independent predictors of cardiac events. METHODS: For 6 consecutive years, this study analyzed 130 patients, who underwent routine standardized preoperative assessment always with the same clinical, surgical, and anesthesia teams. RESULTS: In-hospital mortality was 3.1% (4 patients), and the major cause of death was mesenteric ischemia, which occurred in 3 patients. Forty-eight (37%) nonsurgical complications occurred as follows: 8.5% were cardiac complications and 28.5% were noncardiac complications. The most common complications were the pulmonary ones, which occurred in 14 (10.8%) patients. Survivals in the first, third, and sixth postoperative years were 95%, 87%, and 76%, respectively. The variables that significantly correlated with morbidity and mortality were clinical predictors, mean age of 70.5 years, and presence of heart failure and chronic renal failure. No predictor of late morbidity and mortality was identified. CONCLUSION: Although this is considered a highly complex surgery, mortality is low, the cardiac complications are not very significant, and the patients have a good long-term evolution.


Subject(s)
Aortic Aneurysm, Abdominal/mortality , Aortic Aneurysm, Abdominal/surgery , Elective Surgical Procedures/mortality , Postoperative Complications/mortality , Aged , Brazil/epidemiology , Female , Follow-Up Studies , Humans , Male , Middle Aged , Prospective Studies , Risk Factors , Survival Analysis , Treatment Outcome
2.
Arq. bras. cardiol ; 84(4): 292-296, abr. 2005. tab, graf
Article in Portuguese | LILACS | ID: lil-400304

ABSTRACT

OBJETIVO: Avaliar, prospectivamente, a morbidade e mortalidade precoce e tardia de pacientes submetidos a correção cirúrgica eletiva de aneurisma de aorta abdominal infra-renal e determinar os preditores independentes de eventos cardiológicos. MÉTODOS: Estudados 130 pacientes durante seis anos consecutivos, submetidos a rotina de avaliação pré-operatória padronizada e cirúrgica, sempre pela mesma equipe clínica, cirúrgica e anestesiológica. RESULTADOS: A mortalidade hospitalar foi de 3,1 por cento (4 pacientes), sendo a principal causa de óbito isquemia mesentérica, ocorrida em três pacientes. Houve 48 (37 por cento) complicações não-operatórias, 8,5 por cento consistiram em complicações cardíacas e 28,5 por cento em complicações não cardíacas. As complicações pulmonares foram as mais comuns, ocorridas em 14 (10,8 por cento) pacientes. A sobrevida no 1°, 3° e 6° ano pós-operatório foi, respectivamente, de 95 por cento, 87 por cento e 76 por cento. As variáveis que se correlacionaram significativamente com a morbimortalidade foram preditor clínico, idade média de 70,5 anos, presença de insuficiência cardíaca e insuficiência renal crônica. Não foi identificado nenhum preditor de morbimortalidade tardia. CONCLUSÃO: Apesar de ser uma cirurgia considerada de alta complexidade, a mortalidade é baixa, as complicações cardíacas são de pequena monta e os pacientes apresentam boa evolução a longo prazo.


Subject(s)
Aged , Female , Humans , Male , Middle Aged , Aortic Aneurysm, Abdominal/mortality , Aortic Aneurysm, Abdominal/surgery , Postoperative Complications/mortality , Elective Surgical Procedures/mortality , Brazil/epidemiology , Follow-Up Studies , Prospective Studies , Risk Factors , Survival Analysis , Treatment Outcome
SELECTION OF CITATIONS
SEARCH DETAIL
...