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Results for “AORTA, ABDOMINAL”

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PubMed1989

[False aneurysm in prosthesis of the abdominal aorta].

A false aneurysm in the suture line of a vascular prosthesis is reported in 4 patients. The complications encountered in these patients are discussed. In patients with an aortic bifurcation prosthesis and with unexplained pain, fever or intestinal bleeding further analysis is indicated to exclude a false aneurysm.

Aged↗
PubMedDate not supplied

[Hypoplasia of the abdominal aorta: epidemiology, analysis of risk factors and surgical treatment].

The Authors review the epidemiological data about increasing prevalence of claudication intermittents between women, mainly describing the hypoplastic aorto-iliac syndrome. Sixteen patients were studied and operated on. They presented high incidence of cigarette smoking (87%) and hypertension (72%), and 5 patients (32%) were premenopausal. The incidence of abortion was higher in hypoplastic women (12.5%) than in atherosclerotic women (0.3%). After the surgical treatment there were no complications or hospital mortality, and the patency was 100% at a mean follow-up of 5 years (min. 1-max. 7).

Adult↗
PubMedDate not supplied

Optimal grafting methods for the small abdominal aorta.

Aortobifemoral bypass procedures were performed on 42 patients with the hypoplastic aortoiliac syndrome over an eight year period. During the first five years, 22 patients had either a 13 X 6.5 mm or a 14 X 7 mm knitted Dacron graft and served as historic controls for a second group of 20 others who had 14 X 7 mm grafts of expanded polytetrafluoroethylene (PTFE), during the last three years of the study. Although the two groups were neither concurrent nor randomized, they were nonetheless well matched with regard to age, sex, risk factors, indications for operations, distribution and severity of distal occlusive disease, and type of distal anastomosis. There was only one early graft limb occlusion in the PTFE group after a median follow-up of 14 months, compared to nine occlusions and one amputation in the Dacron group after a median follow-up of 26.2 months. The cumulative patency of the PTFE grafts was 95% at four years compared to only 52% for Dacron (p = 0.11). If the single postoperative occlusion which occurred in each group is excluded, then the difference in patency rates bordered on statistical significance (p = 0.06). Inclusion of the profunda femoris orifice in the distal anastomosis was also found to be an important factor contributing to long-term patency which approached statistical significance (p = 0.075). The configuration of the proximal aortic anastomosis (end to end vs. end to side), or the concomitant use of lumbar sympathectomy or the postoperative infusion of Dextran did not have a statistically significant influence on patency.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗