Document Detail

Survival and aortic events after graft replacement for thoracoabdominal aortic aneurysm.
MedLine Citation:
PMID:  9012997     Owner:  NLM     Status:  MEDLINE    
Graft replacement remains the procedure of choice for patients with thoracoabdominal aortic aneurysm. Since there is little information regarding the long-term survival following these major vascular operations which may carry a risk of various late complications, a retrospective analysis of 10 years follow-up was undertaken. The results of 172 consecutive operations for thoracoabdominal aortic aneurysm were analysed retrospectively. Hospital mortality rate was 10.5%. Temporary postoperative haemodialysis was necessary in 10.4% of cases and paraplegia occurred in 8.2%. The mean (s.e.) overall cumulative 2-, 5- and 10-year observed survival rate was 76(3.4), 53(4.5) and 19(7)%, respectively while expected survival of a background population at 2, 5 and 10 years was 94%, 85% and 71%, respectively. Reoperation for an early (< 7 days) or late (> 7 days) aortic event was necessary in 31 patients. If performed electively, the hospital mortality rate for late aortic reoperation was only 7% but an emergency reoperation, hospital mortality rate was 100%.
M A Schepens; E Dekker; R P Hamerlijnck; F E Vermeulen
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  4     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-29     Completed Date:  1997-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  713-9     Citation Subset:  IM    
St Antonius Hospital, Department of Cardiothoracic Surgery, Nieuwegein, The Netherlands.
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MeSH Terms
Aortic Aneurysm, Abdominal / mortality,  surgery*
Aortic Aneurysm, Thoracic / mortality,  surgery*
Aortic Rupture / surgery*
Blood Vessel Prosthesis / mortality*
Follow-Up Studies
Hospital Mortality
Middle Aged
Retrospective Studies
Risk Factors
Survival Rate
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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