Результаты хирургического лечения аневризм брюшной аорты в сочетании с ишемической болезнью сердца
2013
An outcome analysis of surgical treatment of 203 patients with abdominal aortic aneurysm was made. Patients were divided into two groups. The first group involved 121 (59.6%) patients with uncomplicated aortic aneurysm, the second group 82 (40.4%) — patients with complicated aneurysm and with aneurysm with the threat of rupture. Death occurred in 42 (20.7%) patients, where 39 patients belonged to the group II (47.7% lethality) and 3 patients to the group I (2.5% lethality). The cause of death in 31 cases (73.8%) was the acute cardiovascular insufficiency which in 16 (38.1%) cases was caused by massive blood loss, and in 15 cases (35.7%), by myocardial infarction. In 11 (26.2%) cases the cause of death was the acute renal failure. Among the patients who died the IHD was in 38 patients (90.1%), and among the survivors — in 95 (59%). Key words: abdominal aortic aneurysm, surgical treatment, combination, ischemic heart disease.
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