RESULT AND SURVIVAL AFTER SURGICAL REPAIR FOR ABDOMINAL AORTIC ANEURYSM; SINGLE CENTER STUDY

Objectives The aim of this study was to evaluate mid-term result of open surgical repair for abdominal aortic aneurysm in elective setting, and overall survival during follow-up. Methods We performed a retrospective and descriptive study including 72 infrarenal AAA treated electively by open repair with mean follow up duration was 36 months (range, 18-52 months). Between January 2008 and January 2014. CT angiography (CTA) and arterial Doppler were the main imaging modalities used in both preplanning and follow up. Mid-term Survival and secondary interventions were reported. Result 72 patients were admitted for elective open repair of AAA. Mean age was 66 years (SD=16), 59 patients (82%) were males. The mean aneurysm diameter was 5.8 cm range: 5.5 to 10 cm. The 30 days mortality rate was 2 patients (3%) one patient died due to bowel ischemia with atheroemblization from aneurysm sac, and the seconded patient developed fatal myocardial infarction on the third post operative day. the overall survival rate was 82% within the study period. Mid-term mortality was aneurysms unrelated except one patient. There were 2 patients (3%) who underwent late intervention due to graft related complications first one had aorto-enteric fistula treated by explantation and axillo-bifem . the second patient had proximal anastamotic aneurysm treated by new-aorto- iliac system (NAIS) was died after 3 days post operation. Conclusion Open surgical repair for AAA still remains a safe and durable method in experienced surgeons, even in the endovascular era and results in acceptable perioperative morbidity and mortality rates.