- Paper Report
- Open Access
Survival following AAA repair
- Richard Venn1
© Current Science Ltd 2000
- Published: 12 May 2000
- Abdominal aortic aneurysm
Emergency AAA repair carries a mortality of greater than 50%, in contrast to figures quoted for elective repair of 1.5 - 7%. Patients with AAA greater than 5 cm in diameter have a 5 year survival of 25% without an operation. This study examines the 5 year mortality data for emergency AAA repair in a DGH in the UK.
. 5 year retrospective observational study.
. Outcome: Survival following emergency surgery for AAA rupture.
Ninety nine patients, with a mean age of 75.2 years, underwent emergency surgery for AAA rupture over the study period. Operating theatre survival was 75.8%, postoperative ITU survival was 40.4%, and overall hospital survival 31.3% (compared to 96% hospital survival for elective AAA repair). At the end of the follow-up period 22/99 (22.2%) patients were still alive (median survival 4.4 years). Mean length of ITU stay was 6.8 days for survivors and 7.9 days for those who died in hospital. Eleven patients required haemofiltration, but no patients required long-term dialysis. Twenty-six percent of patients were aged over 80 years and the mortality of this group was 96%.