Indications for surgical treatment of abdominal aortic aneurysms]

The results of the surgical treatment of 115 patients with the abdominal aortal aneurysms are presented. Indications to surgery depending on the stage of aneurysm, way of classification, and coexisting cardiological disorders have been discussed. Excellent and favorable results of surgery have been achieved in 70 patients (60.9%). Overall hospital mortality rate was 39.1%. Out of patients who underwent elective surgery 11.6% died, in the group operated urgently--43.3%, and in emergency situation 89.4% of the operated patients died. Percentage of patients with coexisting cardiological disorders amounted to 54%, 62%, and 80% respectively. A strict correlation of the results of surgery and duration of the disease, and consequently classification to the treatment, has been noted. Indications to the elective surgery are related to the size of aneurysm, rate of its enlargement, patient's age, and general health.