Becquemin et al evaluated perioperative factors impacting mortality in patients undergoing elective repair of an abdominal aortic aneurysm. These can help to identify a patient who may benefit from an alternative strategy for the repair. The authors are from University of Paris XII, University of Paris VI, Hopital Henri Mondor, and Hopital Broussais in France.


Patient selection: elective aortic aneurysm repair by open surgery (aneurysm > 5 cm in diameter or with rapid growth over past 6 months).


Patient exclusions: short life expectancy (advanced age, incurable cancer, severe comorbidity)


Outcome: mortality at 30 days (1 month)


Risk factors for mortality:

(1) age > 70 years

(2) history of acute myocardial infarction

(3) preoperative renal insufficiency

(4) need for reoperation

(5) colonic necrosis (ischemic colitis)

(6) severe post-operative medical complications (myocardial infarction, acute renal failure, lung disease, bleeding, sepsis, multi-organ failure, stroke, etc)


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