Результаты хирургического лечения аневризм брюшной аорты в сочетании с ишемической болезнью сердца

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.