RESULTS OF 1000 CONSECUTIVE ELECTIVE ABDOMINAL AORTIC ANEURYSM REPAIRS

Dhiraj M. Shah, William E. Lloyd, Philip S.K. Paty, R. Clement Darling III, Benjamin B. Chang, Kathleen M. Fitzgerald, Robert P. Leather
Vascular Surgery Section, Albany Medical College,
Albany, NY, USA

Since the inception of modern vascular surgery, mortality rates of elective repair for infrarenal abdominal aortic aneurysm have steadily declined, with current mortality rates averaging less than five percent in major centers. These improvements are largely the result of refinements in the operative technique, improvements in anesthesia and perioperative care. These advances have also translated to decreased perioperative morbidity. Despite these improvements, some groups of patients with impaired cardiac, pulmonary, or renal function have been deemed at increased risk for perioperative mortality and morbidity. In this study, we retrospectively reviewed our elective aneurysm experience with a view to identify such risk factors and their contribution to postoperative morbidity and mortality.

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