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Abdominal Aortic Aneurysm

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6741. 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

6742. 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

6743. 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

6744. 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

6745. 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

6746. 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

6747. 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

6748. 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

6749. Influence of the First Assistant on Abdominal Aortic Aneurysm Surgery (PubMed)

Influence of the First Assistant on Abdominal Aortic Aneurysm Surgery The hypothesis that the type of first assistant who attends the surgeon influences the course and outcome of graft replacement for abdominal aortic aneurysm was tested. Surgical results were analyzed in 179 consecutive patients (149 men and 30 women; mean age, 69 +/- 7.5 years). All the operations were performed by the author-an experienced surgeon with a practice limited to general vascular surgery. The choice of first (...) suggest that the choice of either an MD-surgeon or an experienced RN as first assistant does not influence the course or outcome of abdominal aortic aneurysm surgery.

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1992 Texas Heart Institute Journal

6750. Screening for abdominal aortic aneurysms. (PubMed)

Screening for abdominal aortic aneurysms. 8461757 1993 05 05 2018 11 13 0959-8138 306 6875 1993 Feb 13 BMJ (Clinical research ed.) BMJ Screening for abdominal aortic aneurysms. 461 Wakeman A A Mason J M JM eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Nov 21;305(6864):1291-2 1477585 Aortic Aneurysm, Abdominal prevention & control Humans Mass Screening 1993 2 13 1993 2 13 0 1 1993 2 13 0 0 ppublish 8461757 PMC1676492 Angiology. 1990 Jan;41(1):53-8 2407154 BMJ. 1992 Nov 21;305

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1993 BMJ : British Medical Journal

6751. Periodic health examination, 1991 update: 5. Screening for abdominal aortic aneurysm. Canadian Task Force on the Periodic Health Examination. (PubMed)

Periodic health examination, 1991 update: 5. Screening for abdominal aortic aneurysm. Canadian Task Force on the Periodic Health Examination. 1913408 1991 11 12 2018 11 13 0820-3946 145 7 1991 Oct 01 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Periodic health examination, 1991 update: 5. Screening for abdominal aortic aneurysm. Canadian Task Force on the Periodic Health Examination. 783-9 eng Journal Article Review Canada CMAJ 9711805 0820 (...) -3946 AIM IM CMAJ. 1992 Mar 1;146(5):673-4 1562936 Aorta, Abdominal Aortic Aneurysm diagnosis mortality Humans Physical Examination methods 90 1991 10 1 1991 10 1 0 1 1991 10 1 0 0 ppublish 1913408 PMC1335898 J Cardiovasc Surg (Torino). 1990 Jul-Aug;31(4):438-41 2211795 CMAJ. 1989 Sep 1;141(5):393-5 2766178 CMAJ. 1988 Apr 1;138(7):627-9 3281738 Br Med J (Clin Res Ed). 1987 Mar 28;294(6575):790-1 3105742 Arch Intern Med. 1988 Aug;148(8):1753-6 3041938 World J Surg. 1989 May-Jun;13(3):266-71 2500780

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1991 CMAJ: Canadian Medical Association Journal

6752. Reducing the mortality from abdominal aortic aneurysms: need for a national screening programme. (PubMed)

Reducing the mortality from abdominal aortic aneurysms: need for a national screening programme. 1296605 1992 11 23 2018 11 13 0959-8138 305 6855 1992 Sep 19 BMJ (Clinical research ed.) BMJ Reducing the mortality from abdominal aortic aneurysms: need for a national screening programme. 697-9 Harris P L PL Vascular Surgical Society of Great Britain and Ireland. eng Journal Article England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Oct 24;305(6860):1013 1458111 BMJ. 1992 Oct 24;305(6860):1013-4 (...) 1296648 BMJ. 1992 Oct 24;305(6860):1013 1458112 BMJ. 1992 Oct 24;305(6860):1014 1458115 BMJ. 1992 Nov 21;305(6864):1291-2 1477584 BMJ. 1992 Nov 21;305(6864):1291-2 1477585 Aged Aortic Aneurysm, Abdominal diagnosis diagnostic imaging mortality surgery Aortic Rupture mortality England epidemiology Female Health Services Needs and Demand Humans Male Mass Screening economics Patient Compliance Risk Factors Ultrasonography Wales epidemiology 1992 9 19 1992 9 19 0 1 1992 9 19 0 0 ppublish 1296605 PMC1882936

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1992 BMJ : British Medical Journal

6753. A longitudinal analysis of the relationship between in-hospital mortality in New York State and the volume of abdominal aortic aneurysm surgeries performed. (PubMed)

A longitudinal analysis of the relationship between in-hospital mortality in New York State and the volume of abdominal aortic aneurysm surgeries performed. This study uses New York State hospital discharge data to examine the relationship between in-hospital mortality for a patient receiving an abdominal aortic aneurysm resection and the volume of aneurysm operations performed in the previous year at the hospital where the operation took place and by the surgeon performing the operation (...) . Previous research on this topic is extended in several respects: (1) A three-year data base is used to examine the manner in which hospital and surgeon volume jointly affect mortality rate and to examine ruptured and unruptured aneurysms separately; (2) a six-year data base is used to study the "practice makes perfect" hypothesis and the "selective referral" hypothesis; and (3) the degree of specialization of high-volume surgeons is contrasted with that of other surgeons. The results demonstrate

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1992 Health Services Research

6754. Screening for abdominal aortic aneurysms. (PubMed)

Screening for abdominal aortic aneurysms. 1296648 1993 01 13 2018 11 13 0959-8138 305 6860 1992 Oct 24 BMJ (Clinical research ed.) BMJ Screening for abdominal aortic aneurysms. 1013-4 Sowter M M Lewis M M eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Sep 19;305(6855):697-9 1296605 Age Factors Aortic Aneurysm, Abdominal prevention & control Female Humans Incidence Male Mass Screening Risk Factors 1992 10 24 1992 10 24 0 1 1992 10 24 0 0 ppublish 1296648 PMC1883994 Br J Surg

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1992 BMJ : British Medical Journal

6755. Screening for abdominal aortic aneurysms. (PubMed)

Screening for abdominal aortic aneurysms. 1458112 1993 01 13 2018 11 13 0959-8138 305 6860 1992 Oct 24 BMJ (Clinical research ed.) BMJ Screening for abdominal aortic aneurysms. 1013 Mason J M JM Wakeman A A Griffiths R K RK eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Sep 19;305(6855):697-9 1296605 Aortic Aneurysm, Abdominal prevention & control Humans Mass Screening Risk Factors 1992 10 24 1992 10 24 0 1 1992 10 24 0 0 ppublish 1458112 PMC1884028 Surgery. 1982 Feb;91(2

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1992 BMJ : British Medical Journal

6756. Screening for abdominal aortic aneurysms. (PubMed)

Screening for abdominal aortic aneurysms. 1458115 1993 01 13 2018 11 13 0959-8138 305 6860 1992 Oct 24 BMJ (Clinical research ed.) BMJ Screening for abdominal aortic aneurysms. 1014 Rose J S JS eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Sep 19;305(6855):697-9 1296605 Aortic Aneurysm, Abdominal prevention & control Humans Mass Screening Risk Factors 1992 10 24 1992 10 24 0 1 1992 10 24 0 0 ppublish 1458115 PMC1884049 Ann R Coll Surg Engl. 1990 Jul;72(4):215-7 2200328 Arch

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1992 BMJ : British Medical Journal

6757. Screening for abdominal aortic aneurysms. (PubMed)

Screening for abdominal aortic aneurysms. 1458111 1993 01 13 2018 11 13 0959-8138 305 6860 1992 Oct 24 BMJ (Clinical research ed.) BMJ Screening for abdominal aortic aneurysms. 1013 Fowkes F G FG Ruckley C V CV Powel J T JT Greenhalgh R M RM eng Comment Letter England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Sep 19;305(6855):697-9 1296605 Aortic Aneurysm, Abdominal prevention & control Humans Mass Screening 1992 10 24 1992 10 24 0 1 1992 10 24 0 0 ppublish 1458111 PMC1883987 BMJ. 1992 Sep 19;305

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1992 BMJ : British Medical Journal

6758. Smooth muscle cell elastase, atherosclerosis, and abdominal aortic aneurysms. (PubMed)

Smooth muscle cell elastase, atherosclerosis, and abdominal aortic aneurysms. Smooth muscle cells (SMC) were obtained by outgrowth of human aortic explants from abdominal aortic aneurysm (AAA) patients, aortic occlusive disease (AOD) patients, and transplant donors (controls). Specimens were incubated with medium alone or medium with either elastin-derived peptides (EDP, 5 micrograms/mL) or low-density lipoproteins (LDL, 5 micrograms/mL). Elastase activity (ng/mg total protein) was assayed from (...) ) aortic SMCs secrete elastase in response to EDP, (2) SMC elastase is age dependent, and (3) AAA SMC secrete an abnormally high amount of elastase compared with AOD and control aortas in response to EDP. Like the neutrophil, the SMC is highly responsive to the degradation products of elastin and in AAA patients secrete significantly increased amounts of elastase in response to the breakdown products of atherosclerosis.

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1992 Annals of Surgery

6759. Abdominal aortic aneurysm. Incidence in a hospital population at risk. (PubMed)

Abdominal aortic aneurysm. Incidence in a hospital population at risk. The incidence of abdominal aortic aneurysms has been studied in various selected patient groups. In this study, 100 male patients on a cardiology service who were older than 60 years and over 170 cm (5 ft 7 in) tall were examined by abdominal ultrasonograms. A total of 11 aneurysms were found, 2 of which were more than 4.5 cm in diameter. Other abnormalities that were found included renal disease in 20 patients (1 carcinoma (...) treated with a curative nephrectomy), gallbladder disease in 22 patients, and miscellaneous intra-abdominal disease in 6 patients; 47 patients had no abnormalities found. The aneurysms of these patients were classified by a patient's height in 5-cm (2-in) increments. No significant difference in the incidence of aneurysms was found within the groups, but these groups are small and a significant difference would not be expected. It is of interest that the two large aneurysms were in persons taller than

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1992 Western Journal of Medicine

6760. Screening for abdominal aortic aneurysms. (PubMed)

Screening for abdominal aortic aneurysms. 1477584 1993 02 11 2018 11 13 0959-8138 305 6864 1992 Nov 21 BMJ (Clinical research ed.) BMJ Screening for abdominal aortic aneurysms. 1291-2 Majeed A A eng Letter Comment England BMJ 8900488 0959-8138 AIM IM BMJ. 1992 Sep 19;305(6855):697-9 1296605 Aged Aged, 80 and over Aortic Aneurysm, Abdominal diagnosis mortality Aortic Rupture mortality Female Humans Male Mass Screening United Kingdom epidemiology 1992 11 21 1992 11 21 0 1 1992 11 21 0 0 ppublish

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1992 BMJ : British Medical Journal

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