Surgery of the abdominal aorta: experience of a university hospital in Thailand.

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dc.contributor.authorSriussadaporn, Sen_US
dc.contributor.authorPak-Art, Ren_US
dc.contributor.authorChiamananthapong, Sen_US
dc.contributor.authorTangchai, Wen_US
dc.contributor.authorNivatvongs, Sen_US
dc.contributor.authorSirichindakul, Ben_US
dc.contributor.authorKitisin, Pen_US
dc.contributor.authorSmavatkul, Ven_US
dc.contributor.authorNavicharern, Pen_US
dc.contributor.authorTharavej, Cen_US
dc.contributor.authorChatamra, Ken_US
dc.contributor.authorChulakadabba, Aen_US
dc.contributor.authorSangsubhan, Cen_US
dc.contributor.authorTanprayoon, Ten_US
dc.contributor.authorRojanasakul, Aen_US
dc.contributor.authorVajarabukka, Ten_US
dc.date.accessioned2009-05-27T19:03:40Z
dc.date.available2009-05-27T19:03:40Z
dc.date.issued2001-12-10en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOne hundred and thirty two patients who underwent aortic surgery at King Chulalongkorn Memorial Hospital, Bangkok, Thailand from January 1991 to December 2000 were studied. Twenty three patients (17.4%) were aged less than 60 years, 102 (77.3%) aged 60-80 years, and 7 (5.3%) were older than 80 years. Ninety eight patients (74.2%) underwent elective operations and 34 (25.8%) underwent emergency operations. Elective abdominal aortic aneurysms (AAA) repair was the most common indication for abdominal aortic surgery (56.0%). Eighteen patients (13.6%) underwent surgery for infected AAA. The incidence of infected AAA was 16.1 per cent among patients with AAA. Fifteen patients (11.4%) had ruptured AAA and 19 patients (14.4%) had aortoiliac occlusive disease. The overall mortality rate was 15.2 per cent. The mortality of elective aortic surgery was 5.1 per cent and of emergency aortic surgery was 44.1 per cent. The mortality of elective AAA repair was 4 per cent. Multiple system organ failure was the most common cause of death (80%), followed by acute myocardial infarction (10%) and exsanguination (10%). The authors conclude that elective surgery on the abdominal aorta is safe and should be performed when indicated to prevent the development of complications requiring emergency surgery which carries a much higher risk.en_US
dc.description.affiliationDepartment of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.en_US
dc.identifier.citationSriussadaporn S, Pak-Art R, Chiamananthapong S, Tangchai W, Nivatvongs S, Sirichindakul B, Kitisin P, Smavatkul V, Navicharern P, Tharavej C, Chatamra K, Chulakadabba A, Sangsubhan C, Tanprayoon T, Rojanasakul A, Vajarabukka T. Surgery of the abdominal aorta: experience of a university hospital in Thailand. Journal of the Medical Association of Thailand. 2001 Dec; 84(12): 1655-60en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/40391
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAortic Aneurysm, Abdominal --mortalityen_US
dc.subject.meshEmergency Treatment --adverse effectsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHospitals, University --statistics & numerical dataen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshSurgical Procedures, Elective --adverse effectsen_US
dc.subject.meshThailanden_US
dc.titleSurgery of the abdominal aorta: experience of a university hospital in Thailand.en_US
dc.typeJournal Articleen_US
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