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《Chinese Journal of General Surgery》 2003-11
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Comparison of operative risks in the infrarenal aortic artery reconstruction between abdominal aortic aneurysm and aortoiliac occlusive disease

CHEN Bin, WANG Yu-qi, FU Wei-guo, XU Xin, GUO Da-qiao , JIANG Jun-hao, YANG Jue. Department of Vascular Surgery, Zhongshan Hospital, Fudan University , Shanghai 200032, China  
Objective To compare operative risks of the infrarenal aortic artery reconstruction between abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease (AIOD), and to analyze the causes of the difference. Method Clinical data of 340 cases undergoing aortic artery reconstructions including 222 AAA cases and 118 AIOD cases , were analyzed retrospectively. Results The perioperative mortality was 7.6% and the mortality in AAA group (5.4%) was lower than that in AIOD group (11.9%)(P0.05). There were less complications in AAA group (18.9%) than in AIOD group (28.8%)(P0.05). There was no significant difference between the two groups with regard to the cause of death. Multiple system organ failure was the leading cause of death in both groups. Pulmonary complication was more often seen after infrarenal aortic artery reconstruction. The male population preponderance, smoking and diabetes were the risk factors in AIOD group which may be responsible for higher mortality and morbidity. The average blood transfusion was larger in AAA group than that in AIOD group. Conclusions The operative risk of the aortic artery reconstruction is higher in patients with AIOD. Risk factors such as smoking, diabetes and the condition of life organs may be the causes of the difference in mortality and morbidity in the two groups.
【CateGory Index】: R654.3
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