Major Scope

  •  Colon and Rectal Surgery
  •  General Surgery
  •  Gynecologic Oncology
  •  Plastic Surgery
  •  Neurological Surgery
  •  Orthopaedic Surgery
  •  Orthopaedic Surgery of the Spine
  •  Neonatal Surgery
  •  Prenatal Surgery
  •  Trauma Surgery
  •  Surgical Intensivists, Specializing In Critical Care Patients
  •  Thoracic Surgery
  •  Congenital Cardiac Surgery
  •  Thoracic Surgery-Integrated
  •  Vascular Surgery

Abstract

Citation: Clin Surg. 2020;5(1):2896.Research Article | Open Access

Early and Long-Term Outcome of 150 Consecutive Open Repairs for Ruptured Abdominal Aortic Aneurysms

Shota Yamanaka*, Haruo Aramoto, Go Urabe, Yoshihisa Makino and Tomoki Shimokawa

Department of Cardiovascular Surgery, Sakakibara Heart Institute, Japan

*Correspondance to: Shota Yamanaka 

 PDF  Full Text DOI: 10.25107/2474-1647.2896

Abstract

Objectives: Early good outcomes of Endovascular Aneurysm Repair (EVAR) for Ruptured Abdominal Aortic Aneurysm (RAAA) have been reported. Even though EVAR for RAAA has the advantage of having low invasiveness, some disadvantages have been reported when it is compared to Open Repair (OR), which can be adapted to all cases. The aim of this study is to evaluate early and late outcomes of OR for RAAA in this endovascular era. Methods: Between September 2004 and October 2015, 150 consecutive patients with RAAA underwent OR in our institute. We performed left intercostal thoracotomy and descending aorta clamping for hemodynamic instability. The primary endpoints were early outcome, long-term survival, and aortic related re-intervention-free rate. Risk factors of 30-day mortality were defined by univariate and multivariate analysis. Results: The 30-day mortality was 15.3% (23/150). The cumulative five-year and ten-year survival rate were 66.2% and 50.7%, respectively. The cumulative five-year and ten-year freedom from aortic related re-intervention was 96.1% and 90.5%, respectively. Preoperative shock and Cardiopulmonary Resuscitation (CPR) were defined as risk factors of 30-day mortality. Conclusions: Early and late outcomes were satisfactory compared to other reports n the outcomes of OR (or) EVAR for RAAA. Controlling the preoperative shock state may improve early outcomes. In the ruptured cases, there were fewer aortic related re-interventions in OR than EVAR. It is essential to choose the optimal treatment based on the condition of RAAA in OR and EVAR. Keywords: Ruptured abdominal aortic aneurysm; Long-term survival; Open repair; Reintervention

Keywords

Cite the article

Yamanaka S, Aramoto H, Urabe G, Makino Y, Shimokawa T. Early and Long-Term Outcome of 150 Consecutive Open Repairs for Ruptured Abdominal Aortic Aneurysms. Clin Surg. 2020; 5: 2896..

Journal Basic Info

  • Impact Factor: 2.395**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
  • NLM ID: 101702548

Search Our Journal

Journal Indexed In

Articles in PubMed

Risk Factors for Visual Impairment in an Uninsured Population and the Impact of the Affordable Care Act
 PubMed  PMC  PDF  Full Text
Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Right Pelvis Wall Encapsulated Fat Necrosis Mimics Malignancy Change: A Case Report
 Abstract  PDF  Full Text
Multiple and Giant Sciatic Nerve Schwannoma
 PDF  Full Text
View More...