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The Journal of Tehran University Heart Center، جلد ۱۰، شماره ۳، صفحات ۱۱۷-۱۲۱
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عنوان انگلیسی Risk Factors for Survival following Open Surgical Repair of Ruptured Abdominal Aortic Aneurysms: A 13-Year Experience
چکیده انگلیسی مقاله Background: Surgical treatment of a ruptured abdominal aorta aneurysm (RAAA) continues to present a significant challenge to surgeons. There are some patient factors such as age and gender that cannot be changed, and comorbid conditions can be optimized but not eliminated. The purpose of this study was to identify the risk factors affecting high mortality after the surgical repair of an RAAA. Methods: Data on 121 patients who underwent surgical repair for RAAAs between January 1997 and June 2011 in our institution were collected retrospectively. All the patients had been diagnosed by computed tomography (CT) scans, and intraoperative extra-luminal blood was visualized intraoperatively. Variables studied comprised demographic data; preoperative, operative, and postoperative data; and the causes of mortality. Multivariate regression analysis was used to determine the predictors of mortality. Results: One hundred eight (89.2%) patients were male and 13 (10.7%) were female at an average age of 68.9 ± 10.5 years. Totally, 121 patients underwent surgery for RAAAs. Fifty-four patients had aortic tube grafts, 32 aortobiiliac grafts, 20 aortobifemoral grafts, 1 aortoiliac graft, and 1 aortofemoral graft for the replacement of the RAAAs. Seven patients had only surgical exploration. Operative mortality was 41.3% (50 patients). The factors associated with mortality were preoperative shock, free blood, positive inotropic agent, hematocrit value, and need for blood and plasma. In the multivariate analysis, preoperative shock and positive inotropic agents were found to be significant as the predictors of death (OR: 19.8, 95%CI: 3.2-122.8 and OR: 8.6, 95% CI: 2.9-26.3, respectively). Conclusion: This study revealed that the preoperative clinical findings affected the mortality associated with RAAAs.
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نویسندگان مقاله آنیل ozen | anil ozen
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


muhammet onur hanedan | muhammet onur hanedan
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


çetin مرات songur | çetin murat songur
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


emre boysan | emre boysan
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


ertekin utku unal | ertekin utku unal
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


serkan مولا | serkan mola
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


halil ابراهیم erkengel | halil ibrahim erkengel
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


emre kubat | emre kubat
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


zafer iscan | zafer iscan
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


ufuk tutun | ufuk tutun
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


آحمت sarıtas | ahmet sarıtas
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.


cemal levent birincioglu | cemal levent birincioglu
türkiye yüksek ihtisas hospital, cardiovascular surgery department, ankara, turkey.
نشانی اینترنتی http://jthc.tums.ac.ir/index.php/jthc/article/view/424
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زبان مقاله منتشر شده en
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