Ten cosecutive patients with abdominal aortic aneurysm were treated in Chungnam. National University Hospital from May of 1985 to June of 1993. Pulsating palable mass was the most common first sign(7 patients). The ratio of male to female was
8:2.
The
age ranged from 53 to 73 years with mean age of 65 years. The etiology and location of the aneursm was atherosclerosis and infrarenal aorta in all.
Dacron graft interposition(straight graft-1, bifurcation graft-7) and wrapping with aneurysmal sac were performed in 8 patients. In one patient with infected abdominal aortic aneurysm, we performed aneurysmectomy and left axillo-bifemoral bypass
with 8
mm PTFE graft. And in another patent with complete thrombotic obstruction of infrarenal aortic aneurysm, we performed the suturing of the proximal part of the abdominal aortic aneurysm and aorto-bifemoral bypass with 18*9mm PTFE graft.
There was one operative death with the mortality rate of 11% and 8 complications in 4 patients; ARF(2), duodenal ulcer(1), mechanical ileus(1), genitourinary dysfunction(2) and wound infection with abdominal abscess(1).
Because of the high operative mortality after rupture of the aneurysm, we think it is better to operate on early at the diagnosis of abodominal aortic aneurysm is made. (Korean J Thoracic Cardiovas Surg 1994; 27:355-359)
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