Estudo prospectivo da morbi-mortalidade precoce e tardia da cirurgia do aneurisma da aorta abdominal

Abstract

ObjectiveTo prospectively assess early and late morbidity and mortality of patients undergoing elective surgical repair of abdominal infrarenal aortic aneurysms and to determine the independent predictors of cardiac events. MethodsFor 6 consecutive years, this study analyzed 130 patients, who underwent routine standardized preoperative assessment always with the same clinical, surgical, and anesthesia teams. ResultsIn-hospital mortality was 3.1% (4 patients ConclusionAlthough this is considered a highly complex surgery, mortality is low, the cardiac complications are not very significant, and the patients have a good long-term evolution.

Estudo comparativo entre tratamento endovascular e cirurgia convencional na correção eletiva de aneurisma de aorta abdominal: revisão bibliográfica

“…Seu diagnóstico, em geral, é incidental ou se dá em programas de rastreamento 2 . Com o intuito de diminuir a morbidade de uma eventual ruptura e a sua letalidade, que varia de 65 a 85% 3 , o tratamento eletivo é recomendado quando o tamanho do AAA atinge 5,5 cm de diâmetro 1 ou quando ocorre expansão do diâmetro transverso maior do que 5 mm em 1 ano 4 .…”

Sobrevida tardia de pacientes submetidos à correção aberta eletiva de aneurisma de aorta abdominal

“…There were 67 male patients (90%) and nine female patients. The patients' mean age was 69 years (53-91), and mean size of aneurysms at surgery was 6 cm (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). In one case, aortic size was lower than 5 cm, but it corresponded to indication due to an iliac aneurysm larger than 3 cm.…”

“…This study has a similar result to many series published in the literature. [3][4][5][6][7][9][10][11][12][14][15][16] Global survival rate of patients submitted to surgery for aortic aneurysm repair is high (72% in 8 years). Even older patients (> 75 years) are benefited by surgery, since 86% of them were still alive after 4 years.…”

“…Late survival of patients submitted to aortic aneurysm repair in European countries and in the USA is well known, [3][4][5][6][7][8][9] but in Brazil few studies have been published on this issue. [10][11][12] This study aims at presenting a 12-year follow-up of patients who underwent open surgery for abdominal aortic aneurysm repair in a Brazilian population receiving care at a medium-sized private hospital. Survival, cause of death and evolution of proximal aorta during follow-up are reported, and the results are compared to those in the literature.…”

Morbi-Mortalidade Em Cirurgia De Correção De Aneurisma De Aorta Em Um Hospital Público De Fortaleza-Ce: Estudo Retrospectivo

“…Quando se estudou a relação entre coronariopatias em idosos e o desenvolvimento de aneurisma de aorta verificou que a utilização do Doppler ultrassom para o diagnostico precoce das dilatações da aorta abdominal diminui a mortalidade por ruptura 26 . No estudo de Carvalho et al 27 prevaleceram as complicações cardíacas, o que difere do resultado observado no presente estudo, onde se prevalecem as complicações não-cardíacas. As complicações tardias mais comuns estão relacionadas à incisão cirúrgica 17,18 .…”