Late Survival Of Patients Submitted To Elective Abdominal Aortic Aneurysm Open Repair

Background: The authors performed a review of patients who underwent surgery at a community hospital to determine the cause of late mortality, evolution of other aortic segments and graft-related complications. Objectives: To report the late follow-up of a series of 76 patients submitted to elective abdominal aortic aneurysm open repair from March 1995 to January 2007. Methods: Recruitment of patients for a follow-up visit; those who could not attend personally were contacted by telephone. Results: Thirty-day operative mortality was 5.3%. Late survival obtained by life table was 95% in 1 year, 88% in 3 years and 72% in 8 years. Cardiovascular diseases were the main cause of late mortality, followed by malignant neoplasia. Dilatation of proximal aortic segment during follow-up occurred in 9.7% of the patients, and graft-related complications occurred in four cases (5.3%): one graft infection, one proximal pseudoaneurysm, one pseudoaneurysm of the iliac artery and one branch occlusion. 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