Ten-year results of abdominal aortic and great vessels aneurysms management

Abstract

AIM: To present own 10-year experience of abdominal aortic and great vessels aneurysms management., MATERIAL AND METHODS: There were 369 patients with abdominal aortic aneurysms (AAA) for the period 1995-2016 at the Yaroslavl Regional Clinical Hospital. 25% of patients suffered from abdominal aortic and great vessels aneurysms. Mean age was 70.3+/-7.5. There were 79 (86%) men and 13 (14%) women. 93 patients had 212 aneurysms of other sites besides AAA (from 1 to 6 aneurysms in each case). 63 (68%) patients have been treated and followed-up for the period from 1 to 10 years (mean 105+/-11.8 months)., RESULTS: 1-, 5-, 8- and 10-year survival after AAA repair was 98%, 81%, 54% and 38% respectively., CONCLUSION: The common complications of great vessels aneurysms are distal thrombosis and embolism (40%). Ruptures of aneurysms are less common (13%). These complications require active surgical tactics that allows to preserve the limbs in 85% of patients. Progressive nature of disease in overwhelming numbers of patients (95%) with aneurysms enlargement and their occurrence in other sites requires regular lifelong clinical examination with mandatory ultrasound 2 times per year.