Inflammatory Abdominal Aortic Aneurysms and Atherosclerotic Abdominal Aortic Aneurysms : Comparisons of Clinical Features and Long-Term Results
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概要
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A total of 274 patients with abdominal aortic aneurysms due to atherosclerosis (AAA) and 16 patients with inflammatory abdominal aortic aneurysms (IAAA) were reviewed to compare and contrast the clinical characteristics of the 2 groups. The AAA group comprised 243 men and 31 women with a mean age of 69.2±0.4 (range 51-86) years. The IAAA group comprised 15 men and 1 woman with a mean age of 67.4±2.0 (range 53-81) years. Most patients with IAAA (12/16; 75.0%) had pain at presentation, whereas only 37 out of 274 patients (13.5%) with AAA had pain (p<0.001). Fifty out of 274 patients (18.2%) with AAA were asymptomatic, the most common principal complaint being a pulsatile tumor, which was found in 150 out of 274 patients (54.7%; p<0.005 vs IAAA). Regarding laboratory findings of inflammation, preoperative erythrocyte sedimentation rate values were elevated in 15 out of 16 (93.8%) patients, and C-reactive protein values were elevated in 13 out of 16 (81.3%) patients with IAAA. The incidence of perioperative complications was similar in the 2 groups. The 30-day postoperative mortality among AAA patients was 6.2% (17/274 cases), including 12 cases of non-ruptured and 5 cases of ruptured AAA; in contrast, no early deaths occurred among patients with IAAA. The cumulative 5-year survival rate was 80.2% for IAAA patients and 74.6% for AAA patients (NS). The results of our review suggest that careful diagnosis and intra- and postoperative management could lead to patients with IAAA having a similar survival rate to those with AAA.
- 社団法人日本循環器学会の論文
- 1997-02-20
著者
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Sasaki Shigeyuki
愛心メモリアル病院 心臓血管外科
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Yamauchi Hidetoshi
Department at Cardiovascular Surgery, Hohkaido University School of Medicine
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SAKUMA Makoto
Department of Cardiovascular Surgery, Hokkaido University School of Medicine
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Yasuda Keishu
Department Of Cardiovascular Surgery Hokkaido University School Of Medicine
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Yasuda Keishu
Department Of Cardiovascular Surgery Hokkaido University
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Shiiya Norihiko
Department Of Cardiovascular Surgery Hokkaido University Hospital
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Sasaki Shigeyuki
Department Of Agricultural Chemistry Faculty Of Agriculture Meiji University
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Takigami Kou
Department of Cardiovascular Surgery, Hokkaido University
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Takigami Kou
Department Of Cardiovascular Surgery Hokkaido University
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Shiiya Norihiko
Department Of Cardiovascular Surgery Hokkaido University Postgraduate School Of Medicine
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Yamauchi Hidetoshi
Department Of Cardiovascular Surgery Hokkaido University School Of Medicine
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Yasuda Keishu
Department At Cardiovascular Surgery Hohkaido University School Of Medicine
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Sasaki Shigeyuki
The Department Of Cardiovascular Surgery Hokkaido University Hospital
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Yamauchi Hidetoshi
Department At Cardiovascular Surgery Hohkaido University School Of Medicine
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