López PJD, Enríquez VME, Cossío ZA, Bizueto RH, Rodríguez JOA, Flores RC, Flota RCM

Language: Spanish
References: 11
Page: 42-46
PDF size: 309.12 Kb.

ABSTRACT

Objective: To determine the incidence and analyze the surgical and the medical treatment to patients with Thoracoabdominal aortic aneurysm in our hospital.
Material and method: A retrospective, transversal, observational, open design of patients treated at Angiology and Vascular Surgery Service, Hospital de Especialidades Centro Medico Nacional "La Raza", between March 2001 to March 2006 with thoracoabdominal aortic aneurysm was made. The items were: thoracoabdominal aortic aneurysm, surgical treatment, early morbidity and mortality, gender, age, clinical presentation, anatomic location of the aneurysms, management, histopathology and postoperative outcome.
Results: In the described period 13 aneurysms of Thoracoabdominal aortic aneurysm were diagnosed, which were surgically four patients (30%), three men (23%), one woman (7%) with age average 56,5, were one aneurysm type IV, two type III and one type II, according to the classification of Crawford. The treatment consisted of the opened reconstruction with the positioning of graft and the reimplant of visceral vessels with the clamp and sew technique used like treatment. The postoperative evolution was favorable in 50% of the cases; mortality in 2 patients.
Conclusions: Thoracoabdominal aortic aneurysm appears like a non common pathology. Patients usually present varied symptomatology according with the type of aneurysm, which usually is diagnosed like finding. Surgical treatment is indicated in diameters aneurysms greater than 6 cm.

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