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Original Article
Outcome of abdominal aortic aneurysm in resource limited setting: A single-center cohort study
1 Assistant professor of Cardiovascular and Thoracic Surgery, Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Department of Thoracic and Cardiovascular Surgery, Sulaimani Teaching Hospital,, Iraq
2 Kurdistan Board for Medical Specialization, Cardiothoracic and Vascular Surgery, , Sulaimani DOH,, Iraq
3 Kurdistan Board for Medical Specialization, Cardiothoracic and Vascular Surgery,, Sulaimani DOH,, Iraq
Address correspondence to:
Aram Baram
MD, MRCSEd, FACS, AFSCTS, Department of Surgery, School of Medicine, Faculty of Medical Sciences,
University of Sulaimani, Department of Thoracic and Cardiovascular Surgery, Sulaimani Teaching Hospital, Iraq
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Article ID: 100014C04AB2018
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Baram A, Abdel-Majeed AS, Majeed G. Outcome of abdominal aortic aneurysm in resource limited setting: A single-center cohort study. Edorium J Cardiothorac Vasc Surg 2018;5:100014C04AB2018.ABSTRACT
Aims: The aim of the study is to analyze the risk factor and outcome of patients underwent open repair of abdominal aortic aneurysm in Slemani thoracic center-Iraq.
Method: This is prospective, single cohort study, included patients who underwent open abdominal aortic aneurysm repair. Diameter of 5-5.5 centimeter represents the cut point for intervention. Polyester (Dacron) vascular grafts used mostly with invagination technique. Data regarding socio-demographic and clinical characteristics were collected and analyzed.
Results: Sixty-eight patients operated for infra-renal abdominal aortic aneurysm, followed up to determine early and long term morbidity and mortality. In mean time of 24 months of follow up, we recorded 32% early operative morbidity, acute renal failure was commonest complication which significantly related to suprarenal clamp and peri-operative hypotension. We reported operative mortality of 3% and overall mortality of 7.5%. Freedom from re-admission and technical success rate at first year was 84% and 97% respectively. Cox Regression method revealed significant effect of ischemic heart disease, emergency surgery and intraoperative hypotension on postoperative complications and morbidity.
Conclusion: Open repair for infra renal abdominal aortic aneurysm is safe procedure with acceptable long-term survival. Early Postoperative complications and long term outcome mainly related to patients comorbidities and intraoperative complications.
Keywords: Infrarenal abdominal aortic aneurysm, Intra-operative complications, Longterm survival
SUPPORTING INFORMATION
Author Contributions
Aram Baram - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Allaa Abdel-Majeed - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Goran Majeed - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this study.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Aram Baram et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
