Title: Resection of abdominal arteriosclerotic aneurysm
Abstract: Abstract 1. 1. Ten cases of arteriosclerotic abdominal aortic aneurysm have been reported. There were three deaths in this series, one each from ascending thrombosis and shock, uncontrolled sepsis and uremia, and exsanguination from the proximal suture line. 2. 2. Patients with advanced cardiovascular renal disease in whom the symptoms attributable to the aneurysm were mild were not offered surgery. 3. 3. No patient was refused surgery regardless of his physical status if the symptoms were severe. 4. 4. Protection against embolization and thrombosis by clamping and heparinization are important considerations in the operation. 5. 5. A choice of grafts at the time of operation and sufficient time for their reconstitution is emphasized. 6. 6. Partial thromboendarterectomy is advocated. 7. 7. Continuous through and through silk suture is satisfactory. The graft should be short enough. Careful reperitonization may help prevent delayed leak. 8. 8. Complications included peripheral emboli and thrombosis in two cases and faulty application of the aortic clamp occluding the left renal artery in another two cases. 9. 9. Two patients had coexisting benign rectal strictures requiring later surgical excision. This occurrence appears to be more than coincidental. 10. 10. Six of the patients are now free of symptoms. One patient has disabling residuals of ischemic neuritis.
Publication Year: 1955
Publication Date: 1955-08-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 30
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