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      Surgical treatment of inflammatory abdominal aortic aneurysms: Outcome and predictors analysis

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          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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          Author and article information

          Journal
          1646
          121666
          Interventional Medicine and Applied Science
          IMAS
          Akadémiai Kiadó, co-published with Springer Science+Business Media B.V., Formerly Kluwer Academic Publishers B.V.
          2061-1617
          2061-5094
          1 September 2014
          : 6
          : 3
          : 104-110
          Affiliations
          [ 1 ] Division of Cardiovascular Surgery, University Hospital Center, Rr. Dibres, Tirana, Albania
          [ 2 ] Humanitas Gavazzeni Clinic, Bergamo, Italy
          Author notes
          Article
          2
          10.1556/imas.6.2014.3.2
          042a04a9-b8c6-4912-ad78-2208fd2b7feb
          Categories
          Original Paper

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          surgery,abdominal,inflammatory aneurysm,aorta

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