Authors: Lazar B Davidovic Milanko Maksic Igor Koncar Nikola Ilic Marko Dragas Nikola Fatic Miroslav Markovic Igor Banzic Perica Mutavdzic
Publish Date: 2016/11/01
Volume: 41, Issue: 3, Pages: 884-891
Abstract
Postoperative death occurred in seven patients 1 55 during the first 30 postoperative days The mortality was caused by uncontrolled bleeding1 acute myocardial infarction1 ischemic colitis2 MOFS2 sepsis due to infection and dehiscence of laparotomy wound1 Coronary artery disease OR 389 CI 085–177 p = 00058 postoperative acute myocardial infarction OR 299 CI 256–33495 p = 00053 chronic renal failure OR 75 CI 135–85 p = 00073 colonic necrosis OR 882 CI 477–162969 p = 00026 occlusion of the both hypogastric arteries and the inability to preserve at least one hypogastric artery OR 174 CI 199–17833 p = 00230 aortobifemoral reconstruction OR 906 CI 176–4649 p = 0016 significant perioperative bleeding 2 L OR 732 CI 131–1079 p = 00001 hostile abdomen OR 525 CI 13–211 p = 00055 inflammatory aneurysm OR 1399 CI 288–6509 p = 00002 supraceliac aortic crossclamping OR 187 CI 38–906 p = 00003 prolonged aortic crossclamping 60 min OR 1425 CI 275–645 p = 00003 the intraoperative hypotension OR 661 CI 071–6107 p = 00545 the prolonged operation 240 min OR 866 CI 091–8156 p = 00585 and complete dehiscence of the laparotomy OR 441 CI 339–57278 p = 00396 increased the 30day mortality in our studyEarly mortality after open repair of AAA in high volume center might be very low due to experienced multidisciplinary team Centralized open aortic surgery might be solution for effective treatment of patients with unsuitable anatomy or for young patients with long life expectancy
Keywords: