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KMID : 0357019960120020167
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Journal of the Korean Vascular Surgery Society
1996 Volume.12 No. 2 p.167 ~ p.175
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10 Year Experiences of Surgically Treated Abdominal Aortic Aneurysm Patients
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김영철
윤익진/하종원/양한광/안혁/김상준
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Abstract
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Abdominal aortic aneurysm(AAA) is not common in Korea but lethal condition will be ensued if untreated. Prompt and aggressive treatment is reccmmanded even in the high risk patients. We retrospectively evaluated the clinical results of surgically
treated AAA patients experienced in Seoul National University Hospital from September 1986 to May 1995.
There were 46 cases during this period. Male to female ratic was 3.6 to 1, mean age was 57.8 years and the peak incidence of age was 7th decade. The most common symptom was abdominal pain followed by pulsating mass. Asymptomatic cases were only
2.
Most
of the AAA patients had associated diseases such as cardiovascular, pulmonary, gastrointestinal and renal disease in order of frequency. The dominant affected site was infrarenal and the most common etiology was atherosclerosis. The mean size of
ruptured cases were larger than that of unruptured cases and most of them were more than 6 cm in size. Emergent operation was done in more than half of the total cases and most of the emergent cases were complicated aneurysms. Postoperative
complications were occurred in 15 cases including sepsis, acute renal failure, pneumonia, anastomotic site aneurysm, myocardial infarction. The overall operative mortality was 13%. The operative mortality was higher in cases of suprarenal(40%),
complicated aneurysms(26.7%) and emergent operations(26.7%). Five of the six expired cases were complicated aneurysms and emergently operated. The cuases of death were sepsis, hypovolemic shock and cardiac arrest.
It is concluded that surgical treatment before the occurrence of complications reduces the operative morbidity and mortality.
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KEYWORD
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