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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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ORIGINAL ARTICLES VASCULAR SECTION
The Journal of Cardiovascular Surgery 2007 June;48(3):305-8
Inflammatory abdominal aortic aneurysms. A 20-year experience
Dalainas I. 1, Nano G. 1, Ranucci M. 2, Bianchi P. 1, Stegher S. 1, Casana R. 1, Malacrida G. 1, Tealdi D. G. 1
1 First Unit of Vascular Surgery Istituto Policlinico San Donato University of Milan, Milan, Italy
2 Anesthesia and Intensive Care Unit Istituto Policlinico San Donato, Milan, Italy
Aim. The aim of the study was to report a 20-year single Institution experience, with the early and late outcomes of surgical treatment of inflammatory abdominal aortic aneurysms.
Methods. In a 20-year period, 2 275 consecutive patients underwent elective surgical repair for non-rupture abdominal aortic aneurysm. Fifty-two patients (2.3%) were classified as inflammatory abdominal aortic aneurysms. Early and late outcomes were analyzed.
Results. One patient died in the perioperative period, giving a mortality rate of 1.92%. One patient died from a pseudoaneurysm rupture 7 months after operation. Three patients developed an aortic pseudoaneurysm in the follow-up period (mean 12.1 years, range 1-20 years) and underwent a redo operation.
Conclusion. Overall surgical outcome of these patients, in terms of short-term and long-term is good. A high rate of pseudoaneurysm formation was observed.