OPERATIVE RESULTS OF ABDOMINAL ANEURYSMS-WITH SPECIALREFERENCE TO THE ASSOSIATED DISEASES

Twenty-four patients with abdominal aneurysms were hospitalized and eighteen of them underwent radical operations for past five years. Only one patient who was 77-years-old male, died in three days after the operation. The operative mortality in this series was 5.5%.The background factors of the patients having abdominal aneurysm showed that the patients with cerebrovascular disorders was dominant in the group over 70 years of age, but the patients with cardiac diseases were in almost equal proportion between the both age-groups over and under 70 years of age. In the decision of the indication for operation, cerebral disorders were thought as a exclusive factor, but cardiac diseases were as a risk factor. Therefore, the coronary angiography was performed as a necessary check measures in treatment of the patients with cardiovascular diseases.Three patients having obstructive coronary diseases were treated with special care in the perioperative period, and were cured without any troubles, The following conclusions are obtained in this series. The abdominal aneurysm should be considered as partial disorder of general arteriosclerotic diseases, and ischemic heart diseases are seemed to act as a serious risk factor. Therefore, special care should be taken about the cardio-vascular system in the perioperative period.