[ XXXX of the abdominal aorta and iliac arteries. An analysis of 132 cases].

@entity1 @entity190 @entity177 @entity439 @entity397 @entity453 @entity204 @entity1756
A series of 132 consecutive @entity1 with @entity1756 of the abdominal aorta or iliac arteries treated between 1979 and 1984 is retrospectively reviewed. 13% had a known @entity439 before @entity397 . Workup consisted of clinical assessment alone in 69%, assisted by ultrasound in 23%. Perioperative mortality was 35% (70%-confidence limits (CL) 30%-39%). Preoperative factors associated with increased mortality were age over 80 years, shock and evidence of @entity453 . In addition, intraoperative blood transfusion over 10 liters, suprarenal site of @entity397 , presence of free intraperitoneal blood, suprarenal aortic clamping and operation lasting longer than 3.5 hours were related to @entity204 , though higher mortality was statistically significant only for operating time and site of clamping. Cardiac morbidity was the most common and most critical factor affecting 52% of @entity1 with a mortality of 59% (CL: 52%-65%). Development of @entity177 in postoperative course was almost uniformly associated with @entity204 (91%, CL: 83%-96%) even with use of dialysis, usually from multiple systems failure. Actuarial five-year survival, including perioperative mortality, was 38% (CL: 33%-43%). After a mean follow up of 3.3 years 82% (CL: 76%-87%) of surviving @entity1 are in good health comparable to the pre- @entity397 state. Although many risk factors exist there are few contraindications to surgery, and results can be improved if workup and operation are rapid and simple. Minimizing @entity190 is essential, while supportive measures in postoperative multiple systems failure still remain a serious problem. Prevention of @entity397 by resection of the intact @entity439 remains the ultimate goal.
