Journal «Angiology and Vascular Surgery» • 

2011 • VOLUME 17 • №2

The nearest and remote results in treatment aneurysms of the abdominal aorta and the main arteries

Chervyakov U.V., Staroverov I.N., Smurov S.U., Lavlinski S.N., Lonchakova O.M.
The Yaroslavl State medical academy. Regional clinical hospital,
Yaroslavl, Russia

In the modern literature are taken widely up questions of medical tactics at an aneurysm of abdominal aorta (AA) depending on its sizes, presence of signs and presence of risk factors. The purpose of work was studying current aneurysm illnesses in various arterial parts, developments of optimum tactics of conducting patients and its influence on the remote results of operative treatment.

Into research have entered 51 patient, suffering aneurism of an aorta, it branches and other main arteries. The nearest and remote results of dynamic supervision and operative treatment have been studied. The age of patients was within the limits of from 50 till 88 years, and has on the average made 71,8±6,16. A parity men and women 8:1. Diameter AA changed from 3 up to 12 sm. Aneurysms combination met in an ascending part of an aorta, subclavian arteries, brachiochephalic trunk, carotid, iliofemoral, popliteal and limb arteries. All patients had accompanying cardial pathology.

Patients have been divided into 2 groups. The first was made by 34 patients by whom resection AA has been made. Patients of the second group (17 patients) has been executed by dynamic supervision. The remote results are studied at 32 (62,7%) persons. Term of supervision has made from 6 till 168 months on the average. Postoperative letal cases at scheduled operations were 4,7%, the general postoperative letal cases were about – 11,7%. At the analysis of the remote results it is established, that the survival rate in a year has made 100%, 5 years – 83,3% of patients. Average life expectancy in the given group of patients has made 76,4±4 years, that there corresponds to data the WOHC for a healthy population. Dynamic supervision in both groups has shown progressing current of aneurysms combination in all arterial parts.

Our data show perspectivity of surgical treatment aneurysms of an aorta and the main arteries except for patients with multistorey aneurysmosis arteries of legs in a combination to the continued thrombosis, in which treatment we adhere conservative tactics.

KEY WORDS: aneurism of the aorta, aneurysm disease, the results of treatment.

P. 35

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