THE POSTOPERATIVE MORTALITY AND MORBIDITY AFTER ELECTIVE SURGERY OF COMPLICATED INFRARENAL ABDOMINAL AORTIC-ANEURYSMS

The post-operative mortality and morbidity after elective surgery of a complicated (difficult) infrarenal abdominal aortic aneurysm are repo rted. The authors compare a group of 126 patients with a simple uncomp licated aneurysm to a group of 126 patients with a complicated aneurys m. Mortality (3.2 %) is similar in both groups but the morbidity is ve ry high in the group of patients with difficult aneurysms. The most fr equent complication was renal insufficiency determined by preoperative renal insufficiency. The length of the hospital stay was much longer for the patients after a surgery for a difficult aneurysm. A pre opera tive correct diagnosis is always possible and the surgical technique v aries according the type of anomaly. Even elective surgery of a compli cated aneurysm remains a challenge (J Mal Vasc 1996; 21, Suppl. A: pag es 63-67).