INTRAABDOMINAL AORTIC-ANEURYSMS - INDICAT ION FOR SURGERY, TECHNIQUE,RESULTS

The fate of a patient with an abdominal aortic aneurysm (AAA) is influ enced by the risk of rupture and embolism. When the indication for ope ration is considered, individual associated risk factors have to be ta ken into account. With regard to the literature, the following recomme ndations concerning indication for surgery can be given: emergency sur gery for symptomatic or ruptured aneurysm; elective surgery: aneurysms 5 cm diameter or growing AAA 5 mm/year, patient with acceptable indiv idual risk for operation; asymptomatic aneurysms less than 5 cm in dia meter, without growth in patients aged over 75 years and/or considerab le perioperative risk should not be operated on: sonography should be done 3-monthly as a continuing control. Finally the results in our ins titution are presented for elective surgery: 30-day mortality 3.5%, AA A with rupture, no shock: 20%, ruptured AAA with shock 47%, respective ly.