Abstract:
AIM:The aim of the study is to determine whether presentation and outcomes of inflammatory abdominal aortic aneurysms (IAAA) have changed over the last five decades. METHODS:Comparison of current outcomes (January 2001 to December 2007) with results of the earliest report from our unit in 1972. RESULTS:In contemporary series, 421 patients underwent AAA repair; 38 (9%) were IAAA. In 58% patients, IAAA was an incidental finding, whereas 42% patients were symptomatic with abdominal or back pain. Of those, 32% were ruptured IAAA. Male-to-female ratio was 12:1. Thirty-day mortality was 13%; elective 11.5%; emergency 17%. Comparison with 1972 study showed no change in the incidence and gender predilection. Presentation as an incidental finding and rupture increased 4- and 2-folds, respectively. CONCLUSION:The incidence and gender predilection of IAAA have remained unchanged. The 4-fold increase in the presentation as an incidental finding reflects current trends in patient evaluation.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Paravastu SC,Murray D,Ghosh J,Serracino-Inglott F,Smyth JV,Walker MGdoi
10.1177/1538574409335915subject
Has Abstractpub_date
2009-08-01 00:00:00pages
360-3issue
4eissn
1538-5744issn
1938-9116pii
1538574409335915journal_volume
43pub_type
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