Interventional Medicine and Applied Science
Volume/Issue:
Volume 6: Issue 3
Surgical treatment of inflammatory abdominal aortic aneurysms: Outcome and predictors analysis
Authors:
Edmond Nuellari Division of Cardiovascular Surgery, University Hospital Center, Rr. Dibres, Tirana, Albania

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,
Edvin Prifti Division of Cardiovascular Surgery, University Hospital Center, Rr. Dibres, Tirana, Albania

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 MD, PhD
,
Giampiero Esposito Humanitas Gavazzeni Clinic, Bergamo, Italy

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Saimir Kuci Division of Cardiovascular Surgery, University Hospital Center, Rr. Dibres, Tirana, Albania

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Edmond Kapedani Division of Cardiovascular Surgery, University Hospital Center, Rr. Dibres, Tirana, Albania

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Pages:
104–110
Online Publication Date:
01 Sep 2014
Publication Date:
01 Sep 2014
Article Category:
Research Article
DOI:
https://doi.org/10.1556/imas.6.2014.3.2
Keywords:
inflammatory aneurysm; aorta; surgery; abdominal; surgery
Restricted access

Abstract

Objectives

The aim of this study is to report our experience on the postoperative outcome of surgical treatment of inflammatory abdominal aortic aneurysm (IAAA).

Materials and Methods

Between 1997–2014, 35 patients with IAAA underwent surgery. The mean age was 63 ± 18 years. Chronic renal failure was identified in 11 (31.4%) patients and confirmed ischemic heart disease in 15 (43%) patients. The mean aortic aneurysm diameter was 68 ± 25 mm. The abdominal aorta was clamped above the renal arteries in 6 (17%) patients.

Results

The hospital mortality was 5.7% (2 patients). Three patients developed an aortic pseudoaneurysm and underwent a redo operation. Another patient developed a femoral anastomotic pseudoaneurysm 7 years after operation and he was treated surgically. The actuarial free-reoperation actuarial survival at 1, 5 and 7 years was 94%, 62% and 50%, respectively. The Cox model revealed the delta erythrocyte sedimentation rate (p = 0.002), ischemic heart disease (p = 0.006) and renal failure (p = 0.036) as strong predictors for poor overall outcome.

Conclusion

Early postoperative outcome in terms of mortality and morbidity seems acceptable, however, patients with IAAA have an increased risk for reoperation due to pseudonaneurysm formation. Strong predictors for poor overall outcome seem to be the elevated erythrocyte sedimentation rate, ischemic heart disease and chronic renal failure.

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Cover Interventional Medicine and Applied Science
Interventional Medicine and Applied Science
Print ISSN:
2061-1617
Online ISSN:
2061-5094

2019  
Scimago
H-index		 11
Scimago
Journal Rank		 0,220
Scimago
Quartile Score		 Medicine (miscellaneous) Q3
Scopus
Cite Score		 155/133=1,2
Scopus
Cite Score Rank		 General Medicine 199/529 (Q2)
Scopus
SNIP		 0,343
Scopus
Cites		 206
Scopus
Documents		 23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation		 2009
Publication
Programme		 changed title
Volumes
per Year		  
Issues
per Year		  
Founder Akadémiai Kiadó
Founder's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher		 Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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