Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Clinical Experiences
Surgical Treatment of Crawford Extent II Thoracoabdominal Aortic Aneurysms
Nobuyoshi KAWAHARADA, Toshiro ITO, Shuichi NARAOKA, Takayuki HAGIWARA, Naomi YASUDA, Tetsuya HIGAMI
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2013 Volume 74 Issue 5 Pages 1150-1156

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Abstract
Purpose : The purpose of this study was to examine postoperative complications and delayed outcomes in patients who underwent surgical repair of Crawford II thoracoabdominal aortic aneurysm.
Subjects & Methods : We enrolled 15 patients operated on for Crawford II thoracoabdominal aneurysm out of consecutive 40 patients who underwent elective surgeries for thoracoabdominal aortic aneurysm in our hospital in a 6-year period from January 2006 to December 2011.
Results : No hospital death (0%) occurred, but there were two cases of delayed neurologic deficit. Four (27%) patients needed artificial respiration for more than 72 hours after the operation, and four (27%) patients developed renal failure which required postoperative hemodialysis. The five-year survival rate was 83.3%.
Conclusions : The surgical treatments of Crawford type II thoracoabdominal aneurysms for selected patients are considered satisfactory in terms of the surgical as well as long-term outcomes at present. Strategies and adjuncts for the surgery using at present are considered appropriate.
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© 2013 Japan Surgical Association
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