Factors Affecting Survival and Long-term Results in Cases Operated for Ruptured Abdominal Aortic Aneurysms / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 186-190, 1994.
Article
em Ja
| WPRIM
| ID: wpr-366036
Biblioteca responsável:
WPRO
ABSTRACT
Elective resection of abdominal aortic aneurysms is now a safe operation, though mortality related to ruptured abdominal aortic aneurysm (rAAA) remains high. To evaluate factors affecting survival after rAAA, 26 consecutive cases were studied. The operative mortality was 58% (15/26) compared with 1.8% for 110 elective AAA patients. Factors associated with poor prognosis were blood pressure of less than 90mmHg and profound acidosis of the arterial blood on admission, size of the aneurysm, and massive transfusion. The high mortality and morbidity rate for the rAAA patient emphasize the need for early and aggressive treatment of AAA in elective cases at high risk. In a follow-up study, however, the survival rate of rAAA, excluding hospital mortality, was 71% at five years and there was no significant difference in quality of life as compared with those patients who had elective AAA resection during the same time interval.
Texto completo:
1
Base de dados:
WPRIM
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Aspecto:
Patient_preference
Idioma:
Ja
Revista:
Japanese Journal of Cardiovascular Surgery
Ano de publicação:
1994
Tipo de documento:
Article