Early results of open surgical repair of infrarenal abdominal aortic aneurysms with silver coated grafts at Thai Binh Provincial General Hospital
Main Article Content
Abstract
Objective
Open surgical abdominal aortic repair, involving the excision of dilated area and placement of a synthetic graft is a common, major operation done to treat an aortic aneurysm. This procedure, however, is a challenge for cardiovascular surgeons because of its postoperative mortality and complications. The objective of this research is to study the prognostic factors and early results of open surgical repair (OSR) for abdominal aortic aneurysms (AAA), beginning below the renal arteries.
Methods
This is a descriptive retrospective study on patients with infrarenal AAA, who underwent OSR to replace the aneurysmal sac with a silver coated synthetic graft at Thai Binh Provincial General Hospital from June 2019 to June 2021
Results
40 cases including 28 males and 12 females were eligible for our study. The average age of the studied groups was 68.7 ± 8.95 years old. Common observed clinical symptoms of this demographic included hypertension, lipid metabolism disorders. Most of the aneurysm sacs were rhomboid-shaped with the diameter and the neck length ranged of 5-8 cm and 1.8 ± 0.75cm respectively. The success rate of the procedure was 100%. Pneumonia was the most commonly seen postoperative complication. There was no complication related to the grafts. 02 deaths were reported after surgery due to multi-organ failure. GA (Glasgow Aneurysm) score was excellent and the Hardman score was a good predictor of mortality.
Conclusions:
OSR was a common treatment method for ruptured AAA and AAA that can not be indicated with endovascular placement of an aortic stent graft (EVAR). It was crucial to take prognostic factors into consideration so as to avoid postoperative complications.
Article Details
Keywords
AAA, Abdominal aortic aneurysm, Abdominal Aortic Aneurysm Rupture, Open abdominal aortic aneurysm repair
References
2. Lê Nữ Thị Hoà Hiệp và cộng sự (2005). "Phình động mạch chủ bụng dưới thận. Chỉ định phẫu thuật - kết quả điều trị ngoại khoa mổ mở". Y học TP Hồ Chí Minh, 9(1):tr.16-18.
3. Lê Văn Cường (2012). Các dạng và kích thước động mạch ở người Việt Nam. Các dạng và kích thước động mạch ở người Việt Nam. Nhà xuất bản Y học:tr.169-278.
4. Văn Tần, Phan Thanh Hải, Lê Hoàng Ninh, Trần Thiện Hoà (2008). "Phình động mạch chủ bụng dưới động mạch thận tại TP Hồ Chí Minh: tần suất và các yếu tố nguy cơ mẫu điều tra 4807 người trên 50 tuổi". Y học TP Hồ Chí Minh, 12(1):tr.1-8.
5. Văn Tần, Hồ Nam, Lê Nữ Hoà Hiệp (2004). "999 bệnh nhân phình động mạch chủ ở người Việt Nam: chỉ định điều trị, phẫu thuật và kết quả". Y học TP Hồ Chí Minh, 8(1):tr.521-534.
6. Brady A.R., et al. (2004). "Abdominal aortic aneurysm expansion: risk factors and time intervals for surveillance". Circulation, 110:p.16-21
7. Cambria R.P. (2010). Arterial aneurysms. Rutherford's Vascular Surgery. J. L. Cronenwett and K. W. Johnston. Saunders Elsevier:p.1920-2013
8. Collin J., et al. (1988). "Oxford screening programme for abdominal aortic aneurysm in men aged 65 to 74 years". Lancet, 2:p.613-615.
9. DeBruin J.L., et al. (2010). "Long-Term Outcome of Open or Endovascular Repair of Abdominal Aortic Aneurysm". The New England Journal of Medicine, 362(20):p.1881-1889.
Similar Articles
- Nguyen Thi Huong Trang, Nguyen The Binh, Nguyen Tran Thuy, Quality of life in patients after endoscopic surgery of mitral valve repair at Cardiovascular Center, E hospital , The Vietnam Journal of Cardiovascular and Thoracic Surgery: Vol. 40
You may also start an advanced similarity search for this article.