Surgery of the abdominal aorta: experience of a university hospital in Thailand.
One hundred and thirty two patients who underwent aortic surgery at King Chulalongkorn Memorial Hospital, Bangkok, Thailand from January 1991 to December 2000 were studied. Twenty three patients (17.4%) were aged less than 60 years, 102 (77.3%) aged 60-80 years, and 7 (5.3%) were older than 80 years. Ninety eight patients (74.2%) underwent elective operations and 34 (25.8%) underwent emergency operations. Elective abdominal aortic aneurysms (AAA) repair was the most common indication for abdominal aortic surgery (56.0%). Eighteen patients (13.6%) underwent surgery for infected AAA. The incidence of infected AAA was 16.1 per cent among patients with AAA. Fifteen patients (11.4%) had ruptured AAA and 19 patients (14.4%) had aortoiliac occlusive disease. The overall mortality rate was 15.2 per cent. The mortality of elective aortic surgery was 5.1 per cent and of emergency aortic surgery was 44.1 per cent. The mortality of elective AAA repair was 4 per cent. Multiple system organ failure was the most common cause of death (80%), followed by acute myocardial infarction (10%) and exsanguination (10%). The authors conclude that elective surgery on the abdominal aorta is safe and should be performed when indicated to prevent the development of complications requiring emergency surgery which carries a much higher risk.
Sriussadaporn
S
S
Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Pak-Art
R
R
Chiamananthapong
S
S
Tangchai
W
W
Nivatvongs
S
S
Sirichindakul
B
B
Kitisin
P
P
Smavatkul
V
V
Navicharern
P
P
Tharavej
C
C
Chatamra
K
K
Chulakadabba
A
A
Sangsubhan
C
C
Tanprayoon
T
T
Rojanasakul
A
A
Vajarabukka
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality* / Q000601:surgery*; D017558:Elective Surgical Procedures / Q000009:adverse effects* / Q000706:statistics & numerical data; D004638:Emergency Treatment / Q000009:adverse effects* / Q000706:statistics & numerical data; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013785:Thailand