title: Our failures and ways to decrease hospital mortality in surgical management of thoracoabdominal aortic aneurysms.
abstract: The present study was undertaken to investigate the structure of hospital mortality associated with surgical treatment of 166 patients presenting with thoracoabdominal aortic aneurysms. According to the findings obtained, haemorrhagic, renal, and pulmonary complications turned out to predominate in the structure of an unfavourable postoperative outcome, accounting for 54%, 25% and 17%, respectively. Also determined and outlined herein are promising trends aimed at decreasing the hospital lethality rate related to the pathology involved. These include but are not limited to the following measures to be taken: making an early and accurate diagnosis of the nosological entity concerned, maximally diminishing the operative wound and reducing blood loss to a minimum, as well as using the state-of-the-art "sparing" methods of protecting the patient.
authors.affiliation: Department of Surgery of the Aorta, B. V. Petrovsky Russian Scientific Centre of Surgery, Russian Academy of Medical Sciences, Moscow, Russia.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Belov
authors.forename: R N
authors.initials: RN
authors.lastname: Komarov
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000401:mortality* / Q000601:surgery*; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D000990:Antithrombin III / Q000008:administration & dosage / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005112:Extracorporeal Circulation; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants; D000990:Antithrombin III