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ORIGINAL ARTICLES  VASCULAR SECTION 

The Journal of Cardiovascular Surgery 2016 August;57(4):498-502

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Long-term outcome of abdominal aortic aneurysm repair via a retroperitoneal approach

Mauricio A. BUENDIA 1, Orlando SANTANA 1, Cesar A. CONDE 1, Andres M. PINEDA 1, Carlos ZAMORA 1, Gervasio A. LAMAS 1, Manuel SIVINA 2

1 Columbia University Division of Cardiology, Mount Sinai Heart Institute, Mount Sinai Medical Center, Miami Beach, FL, USA; 2 Department of Surgery, Mount Sinai Medical Center, Miami Beach, FL, USA


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BACKGROUND: A retroperitoneal approach for abdominal aortic aneurysm repair has demonstrated similar short-term postoperative outcomes compared with the transperitoneal approach. However, there is no long-term survival data utilizing exclusively open repair via retroperitoneal approach.
METHODS: We have conducted a retrospective analysis to evaluate the long-term survival of 142 patients with infrarenal aortic aneurysm undergoing elective open surgical repair via a retroperitoneal approach.
RESULTS: Our cohort of patients consisted of 82% males, 59% whites, and a mean age of 72.6±7.7 years. The 30-day mortality rate was 3.5% for open repair via retroperitoneal approach. Post-operative complications were low, with renal failure (9.9%), pulmonary complication (9.9%), and limb ischemia (6.3%) being the most prevalent. Five years after surgery, the cumulative survival rate was 70.1%.
CONCLUSIONS: The elective management of infrarenal aortic aneurysms with open repair via a retroperitoneal approach offers a good prognosis demonstrated with up to 5 year follow up.

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