Renal function following aneurysmectomy of the abdominal aorta.
Postoperative renal function was evaluated in 90 patients operated on for abdominal aortic aneurysms. Forty-four patients were operated on acutely because of impending or actual rupture of the aneurysm. Forty-six patients were operated on electively. The overall mortality rate was 23.7% with a post-operative mortality of 7.8%. Postoperative renal function was evaluated by measurements of the s-creatinine. Impaired renal function was found postoperatively in 45% of the surviving patients. Forty percent of the patients operated on electively had postoperative renal impairment compared with 52% of the patients operated on acutely. The postoperative mortality rate in patients with impaired renal function was 32.4% compared with 8.7% in patients with unchanged renal function. No significant relation between postoperative renal impairment and administration of aminoglycosides, duration of the operation or clamping time of the aorta was found. We found a significant relationship between postoperative renal impairment and episodes of hypotension (p less than 0.01) and the volume of blood transfusions needed (p less than 0.001).
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D003404:Creatinine / Q000652:urine; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies
D003404:Creatinine