[Complex approach to diagnosis and surgical treatment of patients with abdominal aortic aneurysm (classification)].
The problem of management of abdominal aortic aneurysm (AAA) is becoming urgent due to growing AAA incidence. Most often concomitant disease in them is coronary artery disease (CAD) which itself is a risk factor for life. The study was performed in 249 patients, who underwent. Surgery for AAA in RAMS Research Center for Surgery in 1975-1997. 142 (57%) of them had associated CAD. The use of complex approach to the diagnosis in this category of patients has made in possible last years to increase detection of CAD by more than 75%. In surgical management the principle of dominant in lesion of one of these regions was used. In critical conditions of both regions one stage regions was used. In critical conductions of both regions one stage reconstruction was performed. This technique is well developed now. The proposed classification helps to assess completely concomitant diseases in patients with AA and to determine policy of surgical treatment individual for each patients.
Belov
Iu V
IuV
Kosenkov
A N
AN
D017542:Aneurysm, Ruptured / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000145:classification / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003952:Diagnostic Imaging; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures