title: Survival and aortic events after graft replacement for thoracoabdominal aortic aneurysm.
abstract: Graft replacement remains the procedure of choice for patients with thoracoabdominal aortic aneurysm. Since there is little information regarding the long-term survival following these major vascular operations which may carry a risk of various late complications, a retrospective analysis of 10 years follow-up was undertaken. The results of 172 consecutive operations for thoracoabdominal aortic aneurysm were analysed retrospectively. Hospital mortality rate was 10.5%. Temporary postoperative haemodialysis was necessary in 10.4% of cases and paraplegia occurred in 8.2%. The mean (s.e.) overall cumulative 2-, 5- and 10-year observed survival rate was 76(3.4), 53(4.5) and 19(7)%, respectively while expected survival of a background population at 2, 5 and 10 years was 94%, 85% and 71%, respectively. Reoperation for an early (< 7 days) or late (> 7 days) aortic event was necessary in 31 patients. If performed electively, the hospital mortality rate for late aortic reoperation was only 7% but an emergency reoperation, hospital mortality rate was 100%.
authors.affiliation: St Antonius Hospital, Department of Cardiothoracic Surgery, Nieuwegein, The Netherlands.
authors.forename: M A
authors.initials: MA
authors.lastname: Schepens
authors.forename: E
authors.initials: E
authors.lastname: Dekker
authors.forename: R P
authors.initials: RP
authors.lastname: Hamerlijnck
authors.forename: F E
authors.initials: FE
authors.lastname: Vermeulen
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000401:mortality*; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome