SURGICAL-MANAGEMENT OF AORTIC ABDOMINAL ANEURYSMS IN PATIENTS WITH SEVERE PULMONARY-INSUFFICIENCY

  • 1 January 1980
    • journal article
    • research article
    • Vol. 151  (3) , 407-411
Abstract
In view of the poor prognosis associated with the natural history of aortic abdominal aneurysms, this disorder is being surgically corrected in an increasing number of patients. There remains a group of patients with serious coexisting disease in whom careful consideration to the risk of operation must be given. One such group of patients is those with severe respiratory insufficiency. Records of 10 patients with clinical and physiologic evidence of severe pulmonary insufficiency and concomitant aortic abdominal aneurysms were reviewed. While some patients were refused operation for severe cardiovascular disease, malignant disease and obesity, none was denied operation on the basis of severe respiratory insufficiency alone. With detailed respiratory assessment, appropriate preoperative preparation and careful attention to pulmonary function in the postoperative course, these patients can now undergo aortic abdominal aneurysm resection and grafting with a high expectation of success. In the 10 patients no operative deaths occurred. All were discharged from the hospital having undergone a favorable postoperative course.

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