The juxtarenal abdominal aortic aneurysm

A more common problem than previously realized?

S. M. Taylor, Joseph L Mills, R. M. Fujitani

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Objective: To determine the incidence and treatment outcome of juxtarenal infrarenal aneurysmectomy in a vascular practice minimally biased by tertiary referral. Design: A 5-year retrospective review of all aortic operations from our vascular registry was performed, and a case series of juxtarenal aneurysmectomies was analyzed. Patients: Of 174 infrarenal aortic aneurysmectomies performed, 27 (15.5%) (95% confidence interval, 10.5% to 21.8%) involved the juxtarenal aorta. Interventions: Juxtarenal involvement was unsuspected but found by aortography in 25 (93%) of 27 cases. Resection was performed transabdominally in 20 cases (74%) and retroperitoneally in seven cases (26%). Main Outcome Measures: Incidence, operative technique, morbidity, and mortality were analyzed and compared with those of historical controls. Results: The incidence of juxtarenal aneurysmectomy was 15.5%. No operative deaths occurred, but there was a 19% incidence of surgical morbidity (including a 7% incidence of transient renal failure). The late survival rate was 89% (follow-up, 1 to 53 months; mean 18 months). Conclusions: Juxtarenal aortic aneurysms are not uncommon. Successful management is possible, even outside the large referral center.

Original languageEnglish (US)
Pages (from-to)734-737
Number of pages4
JournalArchives of Surgery
Volume129
Issue number7
StatePublished - 1994
Externally publishedYes

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Abdominal Aortic Aneurysm
Incidence
Blood Vessels
Referral and Consultation
Morbidity
Aortography
Aortic Aneurysm
Renal Insufficiency
Registries
Aorta
Survival Rate
Outcome Assessment (Health Care)
Confidence Intervals
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

The juxtarenal abdominal aortic aneurysm : A more common problem than previously realized? / Taylor, S. M.; Mills, Joseph L; Fujitani, R. M.

In: Archives of Surgery, Vol. 129, No. 7, 1994, p. 734-737.

Research output: Contribution to journalArticle

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abstract = "Objective: To determine the incidence and treatment outcome of juxtarenal infrarenal aneurysmectomy in a vascular practice minimally biased by tertiary referral. Design: A 5-year retrospective review of all aortic operations from our vascular registry was performed, and a case series of juxtarenal aneurysmectomies was analyzed. Patients: Of 174 infrarenal aortic aneurysmectomies performed, 27 (15.5{\%}) (95{\%} confidence interval, 10.5{\%} to 21.8{\%}) involved the juxtarenal aorta. Interventions: Juxtarenal involvement was unsuspected but found by aortography in 25 (93{\%}) of 27 cases. Resection was performed transabdominally in 20 cases (74{\%}) and retroperitoneally in seven cases (26{\%}). Main Outcome Measures: Incidence, operative technique, morbidity, and mortality were analyzed and compared with those of historical controls. Results: The incidence of juxtarenal aneurysmectomy was 15.5{\%}. No operative deaths occurred, but there was a 19{\%} incidence of surgical morbidity (including a 7{\%} incidence of transient renal failure). The late survival rate was 89{\%} (follow-up, 1 to 53 months; mean 18 months). Conclusions: Juxtarenal aortic aneurysms are not uncommon. Successful management is possible, even outside the large referral center.",
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