SURGICAL TREATMENT OF PATIENTS WITH ABDOMINAL AORTIC ANEURISM AT BSMU CLINIC

Abstract

The article is devoted to the severe pathology of cardiovascular system: abdominal aortic aneurysm (ABA). The severity of this disease is asymptomatic, which significantly increases the amount of lethal outcomes. The data of domestic and foreign literature indicate constant increase in incidence of ABA in population over the past decades, indicating the study relevance. The basis of our research was the data of clinical examination and treatment of 175 patients admitted at Clinic of Bashkir State Medical University for the period from 2007 to 2018 with a diagnosis of ABA, of which 118 (67%) patients underwent surgical treatment. On the basis of medical histories, a retrospective analysis of potential predictors of this pathology was carried out: age, history, sex, comorbidity, type of surgical treatment. Surgical treatment of ABA was carried out in two ways: open (resection of aneurysm with aortic prosthesis) and endovascular (transcatheter prosthetics of the abdominal aorta with a stent graft). In our study, there were no data on intraoperative and hospital complications, but there was a significant burden of comorbid pathology in patients prepared for endovascular intervention. The results obtained by us correspond to the data described in the modern world literature, and can also allow us to formulate a rational approach to the choice of indications and surgical treatment methods.