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Abdominal Aortic Aneurysm

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6721. Endoluminal Graft Repair for Abdominal Aortic Aneurysms in High-Risk Patients and Octogenarians: Is it Better Than Open Repair? (PubMed)

Endoluminal Graft Repair for Abdominal Aortic Aneurysms in High-Risk Patients and Octogenarians: Is it Better Than Open Repair? To analyze the short-term and midterm results of open and endoluminal repair of abdominal aortic aneurysms (AAA) in a large single-center series and specifically in octogenarians.Between January 1997 and October 2000, 470 consecutive patients underwent elective repair of AAA. Conventional open repair (COR) was performed in 210 patients and endoluminal graft (ELG

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2001 Annals of Surgery

6722. Endovascular treatment of huge saccular abdominal aortic aneurysm in a young Behcet patient: mid-term result (PubMed)

Endovascular treatment of huge saccular abdominal aortic aneurysm in a young Behcet patient: mid-term result BACKGROUND: Abdominal aortic aneurysm formation is among the arterial complications of Behcet's disease. Weakness and fragility of aortic walls leads to the development of arterial complications like pseudoaneurysms. CASE PRESENTATION: A case of huge saccular abdominal aortic aneurysm in a young Behcet patient who was successfully treated with endovascular stent graft placement (...) is reported, diagnostic and interventional procedures are discussed, and mid-term follow-up results are presented. CONCLUSIONS: Endovascular treatment of abdominal aortic aneurysm complications of young Behcet patients who are not suitable for open surgery and need intervention could be an alternative treatment modality even without performing preprocedural angiography.

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2002 BMC Medical Imaging

6723. Endovascular Repair of Abdominal Aortic Aneurysms: Risk Stratified Outcomes (PubMed)

Endovascular Repair of Abdominal Aortic Aneurysms: Risk Stratified Outcomes The impact of co-morbid conditions on early and late clinical outcomes after endovascular treatment of abdominal aortic aneurysm (AAA) was assessed in concurrent cohorts of patients stratified with respect to risk for intervention.As a minimally invasive strategy for the treatment of AAA, endovascular repair has been embraced with enthusiasm for all prospective patients who are suitable anatomical candidates because (...) days vs. 0.5 +/- 1.6 days). Patients at increased risk of intervention had larger aneurysms than low-risk patients (59 +/- 13 mm vs. 51 +/- 14 mm; P <.05). Stent grafts were successfully implanted in 116 (95%) increased-risk versus 107 (95%) low-risk patients (P = NS). Conversion rates to open operative repair were similar in increased-risk and low-risk groups at 3% and 5%, respectively. The initial endoleak rate was 22% versus 20%, based on the first CT performed (either at discharge or 1 month; P

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2002 Annals of Surgery

6724. Association of a G994 →T Missense Mutation in the Plasma Platelet-Activating Factor Acetylhydrolase Gene With Risk of Abdominal Aortic Aneurysm in Japanese (PubMed)

Association of a G994 →T Missense Mutation in the Plasma Platelet-Activating Factor Acetylhydrolase Gene With Risk of Abdominal Aortic Aneurysm in Japanese To investigate a possible association with plasma platelet activating factor acetylhydrolase (PAF-AH) gene mutation with the risk of abdominal aortic aneurysm (AAA).Plasma platelet activating factor acetylhydrolase is known to catalyze platelet activating factor (PAF), thereby inactivating its inflammatory function. Deficiency

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2002 Annals of Surgery

6725. Ruptured abdominal aortic aneurysm presenting as groin pain. (PubMed)

Ruptured abdominal aortic aneurysm presenting as groin pain. 11942452 2002 05 22 2018 11 13 0960-1643 52 477 2002 Apr The British journal of general practice : the journal of the Royal College of General Practitioners Br J Gen Pract Ruptured abdominal aortic aneurysm presenting as groin pain. 320-1 Lynch Richard M RM Accident and Emergency Department, Hull Royal Infirmary. rlynch@tinyworld.co.uk eng Case Reports Journal Article England Br J Gen Pract 9005323 0960-1643 IM Br J Gen Pract. 2002 (...) Jul;52(480):584-5 12120736 Aged Aortic Aneurysm, Abdominal complications Aortic Rupture complications Fatal Outcome Groin Humans Male Middle Aged Pain etiology Physical Examination Tomography, X-Ray Computed 2002 4 11 10 0 2002 5 25 10 1 2002 4 11 10 0 ppublish 11942452 PMC1314276 Arch Intern Med. 2000 Mar 27;160(6):833-6 10737283 Eur J Vasc Endovasc Surg. 2000 Mar;19(3):299-303 10753695 Zhonghua Yi Xue Za Zhi (Taipei). 1998 Apr;61(4):210-5 9614779 Ann R Coll Surg Engl. 1999 Jan;81(1):27-31

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2002 The British Journal of General Practice

6726. Assessment of abdominal aortic aneurysms by computed tomography. (PubMed)

Assessment of abdominal aortic aneurysms by computed tomography. 7370648 1980 07 26 2018 11 13 0007-1447 280 6216 1980 Mar 15 British medical journal Br Med J Assessment of abdominal aortic aneurysms by computed tomography. 765 Young A E AE Thomas M L ML Wright C H CH eng Journal Article England Br Med J 0372673 0007-1447 AIM IM Aorta, Thoracic Aortic Aneurysm diagnostic imaging Humans Male Tomography, X-Ray Computed 1980 3 15 1980 3 15 0 1 1980 3 15 0 0 ppublish 7370648 PMC1600587 Am J

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1980 British medical journal

6727. Fatal myocardial infarction following abdominal aortic aneurysm resection. Three hundred forty-three patients followed 6--11 years postoperatively. (PubMed)

Fatal myocardial infarction following abdominal aortic aneurysm resection. Three hundred forty-three patients followed 6--11 years postoperatively. Routine preoperative coronary angiography has been recommended to all patients scheduled for elective abdominal aortic aneurysm resection at the Cleveland Clinic since 1978. Patients found to have severe, correctable coronary artery disease (CAD) have been advised to undergo myocardial revascularization prior to aneurysm resection in an attempt (...) to reduce the incidence of fatal postoperative myocardial infarction. In order to provide an historic standard with which the results of this approach may eventually be compared, complete follow-up information has been obtained for 96% of 343 consecutive patients who underwent abdominal aortic aneurysm resection between 1969 and 1973. Fatal myocardial infraction accounted for 37% of early postoperative deaths and occurred in 6% of the entire series. Among the patients who survived operation, the five

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1980 Annals of Surgery

6728. Infrarenal abdominal aortic aneurysm: factors influencing survival after operation performed over a 25-year period. (PubMed)

Infrarenal abdominal aortic aneurysm: factors influencing survival after operation performed over a 25-year period. This report is concerned with the factors influencing survival in 920 consecutive patients submitted to operation for infrarenal abdominal aortic aneurysm during the past 25 years. Rupture had occurred in 60 patients (6.5%) and survival was 77%, which did not vary during the period of study. Of the 860 patients (93.5%) treated for nonrupture, 819 (95%) survived operation

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1981 Annals of Surgery

6729. Abdominal aortic aneurysms: how can we improve their treatment? (PubMed)

Abdominal aortic aneurysms: how can we improve their treatment? Arteriosclerotic abdominal aortic aneurysms are present in a least 2% of the elderly population of the Western world and their number is increasing. Without treatment 30% of patients with asymptomatic aneurysms live for 5 years, although the risk of rupture becomes greater as the size of the aneurysm increases. Of those with untreated symptomatic aneurysms 80% are dead within a year. Elective repair of aneurysms has a low mortality (...) , and 50% of the patients live for at least 5 years. Symptomatic aneurysms all cause pain and may produce other symptoms from pressure on adjacent structures, distal embolism, acute thrombosis or rupture. In 88% of cases an aneurysm can be diagnosed by physical examination alone; confirmatory tests include soft-tissue roentgenography of the abdomen, ultrasonography, computer-assisted tomography and aortography. Repair is indicated for symptomatic or ruptured aortic aneurysms and for asymptomatic

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1980 Canadian Medical Association Journal

6730. Recurrent and fatal haemoptysis caused by an atheromatous abdominal aortic aneurysm. (PubMed)

Recurrent and fatal haemoptysis caused by an atheromatous abdominal aortic aneurysm. A 74 year old woman presented with a two month history of recurrent small hemoptyses and died after a subsequent massive haemoptysis. At postmortem examination the source of bleeding was found to be a leaking saccular, atheromatous abdominal aortic aneurysm, which had ruptured through the diaphragm into the lower lobe of the right lung.

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1990 Thorax

6731. On the inheritance of abdominal aortic aneurysm. (PubMed)

On the inheritance of abdominal aortic aneurysm. To determine the mode of inheritance of abdominal aortic aneurysm, data on first-degree relatives of 91 probands were collected. Results of segregation analysis performed on these data are reported. Many models, including nongenetic and genetic models, were compared using likelihood methods. The nongenetic model was rejected; statistically significant evidence in favor of a genetic model was found. Among the many genetic models compared, the most (...) parsimonious genetic model was that susceptibility to abdominal aortic aneurysm is determined by a recessive gene at an autosomal diallelic major locus. A multifactorial component in addition to the major locus does not increase the likelihood of the data significantly.

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1991 American Journal of Human Genetics

6732. Prognosis of abdominal aortic aneurysm. (PubMed)

Prognosis of abdominal aortic aneurysm. 2202450 1990 09 28 2018 11 13 0959-8138 301 6744 1990 Jul 21 BMJ (Clinical research ed.) BMJ Prognosis of abdominal aortic aneurysm. 136 Greenhalgh R M RM Charing Cross and Westminster Medical School, London. eng Journal Article Review England BMJ 8900488 0959-8138 AIM IM BMJ. 1990 Sep 1;301(6749):446 2282415 Aged Aorta, Abdominal Aortic Aneurysm pathology surgery Blood Vessel Prosthesis Humans Middle Aged Prognosis 21 1990 7 21 1990 7 21 0 1 1990 7 21 0

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1990 BMJ : British Medical Journal

6733. Selective evaluation and management of coronary artery disease in patients undergoing repair of abdominal aortic aneurysms. A 16-year experience. (PubMed)

Selective evaluation and management of coronary artery disease in patients undergoing repair of abdominal aortic aneurysms. A 16-year experience. Reduction of cardiac mortality associated with abdominal aortic aneurysm (AAA) repair remains an important goal. Five hundred consecutive urgent or elective operations for infrarenal nonruptured AAA were reviewed. Patients were divided into three groups based on preoperative cardiac status: group I (n = 260, 52%), no clinical or electrocardiographic

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1990 Annals of Surgery

6734. Prognosis of abdominal aortic aneurysm. (PubMed)

Prognosis of abdominal aortic aneurysm. 2282415 1991 03 15 2018 11 13 0959-8138 301 6749 1990 Sep 01 BMJ (Clinical research ed.) BMJ Prognosis of abdominal aortic aneurysm. 446 Russell A J AJ Ward A S AS eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1990 Jul 21;301(6744):136 2202450 Aorta, Abdominal Aortic Aneurysm therapy Humans Prognosis 1990 9 1 1990 9 1 0 1 1990 9 1 0 0 ppublish 2282415 PMC1663681 Arch Surg. 1980 Jan;115(1):51-3 7350886 Surg Gynecol Obstet. 1980 Feb;150(2

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1990 BMJ : British Medical Journal

6735. Histoplasma infection of abdominal aortic aneurysms. (PubMed)

Histoplasma infection of abdominal aortic aneurysms. Fungal endarteritis resulting from progressive disseminated histoplasmosis may cause arterial aneurysms, or lead to infection of pre-existing aneurysms. Three patients with Histoplasma capsulatum infections of abdominal aortic aneurysms are reported. All had previous disseminated histoplasmosis and atherosclerotic peripheral vascular disease. All were considered cured of systemic infection when their aneurysms were discovered. Atherosclerotic

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1983 Annals of Surgery

6736. Abdominal Aortic Aneurysms (PubMed)

Abdominal Aortic Aneurysms Aneurysms are common in our increasingly elderly population, and are a major threat to life and limb. Until the advent of vascular reconstructive techniques, aneurysm patients were subject to an overwhelming risk of death from exsanguination. The first successful repair of an abdominal aortic aneurysm using an interposed arterial homograft was reported by Dubost in 1952. A milestone in the evolution of vascular surgery, this event and subsequent diagnostic, operative (...) and prosthetic graft refinements have permitted patients with an unruptured abdominal aortic aneurysm to enjoy a better prognosis than patients with almost any other form of major systemic illness.

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1984 Western Journal of Medicine

6737. The changing natural and surgical history of abdominal aortic aneurysm s. (PubMed)

The changing natural and surgical history of abdominal aortic aneurysm s. 6702196 1984 04 06 2018 11 13 0093-0415 140 1 1984 Jan The Western journal of medicine West. J. Med. The changing natural and surgical history of abdominal aortic aneurysm s. 88-9 Edwards W S WS eng Editorial United States West J Med 0410504 0093-0415 IM Aged Aorta, Abdominal Aortic Aneurysm etiology surgery Humans Middle Aged 1984 1 1 1984 1 1 0 1 1984 1 1 0 0 ppublish 6702196 PMC1011051 Am J Surg. 1982 Dec;144(6):627-34

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1984 Western Journal of Medicine

6738. Management of cholelithiasis in patients with abdominal aortic aneurysm. (PubMed)

Management of cholelithiasis in patients with abdominal aortic aneurysm. Gallstones were detected in 42 of 865 patients with abdominal aortic aneurysm (4.9%). Eighteen patients underwent concomitant aneurysm resection and cholecystectomy. Eleven patients had aneurysmectomy without cholecystectomy. Thirteen patients underwent cholecystectomy alone. There were no significant increases in operative mortality, duration of operation, or length of hospital stay when cholecystectomy was added (...) during a mean follow-up period of 2.9 years. Two of these episodes occurred in the immediate postoperative period and one patient died of biliary sepsis. On the basis of these findings, concomitant aneurysmectomy and cholecystectomy is advised in those patients with cholelithiasis undergoing aortic aneurysm resection providing no contraindications exist.

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1983 Annals of Surgery

6739. Coronary artery disease in patients requiring abdominal aortic aneurysm repair. Selective use of a combined operation. (PubMed)

Coronary artery disease in patients requiring abdominal aortic aneurysm repair. Selective use of a combined operation. The chief cause of operative mortality after abdominal aortic aneurysm (AAA) repair is myocardial infarction. For this reason, routine coronary angiography followed by prophylactic coronary artery bypass grafting (CABG) prior to AAA repair has been recommended by some surgeons. We report here the results of the selective use of a combined operation. Two hundred twenty-seven

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1985 Annals of Surgery

6740. Abdominal aortic aneurysm in high-risk patients. Outcome of selective management based on size and expansion rate. (PubMed)

Abdominal aortic aneurysm in high-risk patients. Outcome of selective management based on size and expansion rate. Low mortality rates for elective surgical treatment of abdominal aortic aneurysms justify an aggressive approach in most patients. However, in high-risk patients with small aneurysms and no symptoms, the decision to operate remains a delicate balance of risk and benefit. Our observations include 99 high-risk patients with asymptomatic abdominal aortic aneurysms initially measuring (...) 3 to 6 cm in the largest transverse diameter, who have been followed 1 to 9 years (average 2.4 years) with serial echographic measurements. Elective operations were performed for aneurysmal enlargement greater than 6 cm or symptom development. An additional 11 patients with aneurysms initially greater than 6 cm, whose initial evaluation did not result in elective surgery, were also followed. Serial data documented a mean expansion rate of 0.4 cm/year for aneurysms smaller than 6 cm. Forty-one

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1984 Annals of Surgery

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