Long-Term Cardiovascular Outcome After Elective Abdominal Aortic Aneurysm Open Repair

摘要: Background We analyzed the incidence of late cardiovascular events and mortality after elective infra-/juxtarenal abdominal aortic aneurysm open repair (AAA-OR). Methods included patients who survived AAA-OR in our center 1988-2006. registered cardiac, cerebrovascular, peripheral vascular events, as well all-cause mortality. calculated patient survival freedom from (Kaplan-Meier) evaluated risk factors (multivariate analysis). Results studied 297 patients: 292 (98.3%) men, aged 67 ± 7 (44-83) years, 143 (48.1%) bifurcated grafts. In a mean follow-up 78.7 52.9 months, we 203 123 (41.4%) patients, at rate 0.16 events/patient-year. Eleven (3.7%) suffered graft-related complications. Freedom was 94.2%, 67.2%, 45.7%, 27.6% 1, 5, 10, 15 respectively. Survival 96.6%, 74.7%, 50.7%, 31.5%, The main cause death disease ( n = 54, 18.2%), followed by cancer 43, 14.5%). Only four (1.3%) deaths were graft-related. Coronary artery chronic renal failure predictive p 0.033 0.006). Conclusion Although long-term is similar to that general population, successful remain increased throughout their lifetime. Graft-related complications are rare, confirming durability procedure.