[Surgery of ruptured aneurysms of the abdominal aorta and iliac arteries: mortality and early morbidity].
Two hundred patients with ruptured aneurysms of abdominal aorta and iliac artery were operated between 1979 and 1988. There were 179 males and 21 females with a mean age of 69 years (range 51 to 90 years). A total of 53/200 (27%) patients died in the hospital; of these 12/200 (6%) died intraoperatively. In following groups mortality was significantly higher: age greater than 70 years (37% vs 17%; p less than 0.01), preoperative shock (36% vs 14%; p less than 0.01), duration of symptoms greater than 12 hours (33% vs 17%; p less than 0.01), operative time greater than 240 min (53% vs 20%; p less than 0.01), intraoperative resuscitation (83% vs 21%; p less than 0.01), amount of volume greater than 4 liters (29% vs 12%; p less than 0.01) and intraperitoneal rupture (40% vs 24%; p less than 0.05). Location of rupture (suprarenal, infrarenal, iliac vessel), location of aortic clamping and the experience of the surgeon also influenced mortality but not significantly.
Bauer
E P
EP
Klinik für Herzgefässchirurgie, Universitätsspital Zürich.
Weber
E E
EE
Laske
A
A
von Segesser
L K
LK
Turina
M
M
D000368:Aged; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012307:Risk Factors; D012422:Rupture, Spontaneous; D015996:Survival Rate
Chirurgie von rupturierten Aneurysmen der Bauchaorta und Iliakalarterien: Mortalität und Frühmorbidität.