2014, Number 1
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Revista Cubana de Angiología y Cirugía Vascular 2014; 15 (1)
Epidemiologic and clinical aspects of the abdominal aortic aneurysms
Clavijo RT, Valencia DE, Barnés DJA, Carballo TL, Ortega RO, Guevara AL
Language: Spanish
References: 19
Page:
PDF size: 119.80 Kb.
ABSTRACT
Introduction: the abdominal aortic aneurysm is a frequent and important illness of clinical value in angiology.
Objective: to describe some clinical and epidemiological aspects of the abdominal aortic aneurysms according to sex and size of the aneurysm.
Methods: longitudinal descriptive study of 56 patients aged over 55 years, with clinical and ultrasonographic diagnosis of abdominal aortic aneurysm. Some clinical and epidemiological aspects were analyzed. The following variables were used such as age, sex, location and size of aneurysm, and cardiovascular risk factors.
Results: aneurysms were more frequent in males aged over 60 years, mainly in 70-79 years (n= 26, 35.71 %). It was found that 32.14 % of patients were asymptomatic, whereas the palpable tumor (37.5 %) and abdominal pain (19.64 %) were the most common findings. Hypertension (64.29 %) and smoking (67.86 %) predominated. The 56.5 % of patients with big aneurysms presented with two factors, but those with very small aneurysms (45.8 %) presented just one. It was observed that infrarenal aneurysms were predominant, with 53 cases.
Conclusion: the abdominal aortic aneurysm predominated in patient older than 60 years, mainly if they are hypertensive and smoker, which are important factors to bear in mind in asymptomatic patients.
REFERENCES
Khamitov FF, Matochkin EA, Vertkina NV, Kizyma AG, Lisitski- DA. Surgical correction of infrarenal abdominal aorta aneurysms. AngiolSosudKhir. 2008;14(2):108- 14.
Bekkers SC, Habets JH, Cheriex EC, Palmans A, Pinto Y, Hofstra L, et al. Abdominal aortic aneurysm screening during transthoracic echocardiography in an unselected population. J Am Soc Echocardiogr. 2005;18:389-93.
Kasashima S, Zen Y, Kawashima A, Endo M, Matsumoto Y, Kasashima F. A new clinic pathological entity of IgG4-related inflammatory abdominal aortic aneurysm. J Vasc Surg. 2009;49(5):1264-71.
Speziale F, Ruggiero M, Sbarigia E, Marino M, Menna D. Factors influencing outcome after open surgical repair of juxtarenal abdominal aortic aneurysms. Vascular. 2010;18(3):141-6.
Dubois M, Daenens K, Houthoofd S, Peetermans WE, Fourneau I. Treatment of mycotic aneurysms with involvement of the abdominal aorta: single-centre experience in 44 consecutive cases. Eur J Vasc Endovasc Surg. 2010;40:450-6.
Pedrosa C, Casanova R. Diagnóstico por imagen. Vol II: Abdomen tracto gastrointestinal. 2da. edición. Madrid: McGraw- Hil; 2007:151-5.
Tara M, Roy K, Adrian H, Morales C. Defining high risk in endovascular aneurysm repair. J Vasc Surg. 2010;51:1088-95.
EVAR trial Investigators. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med. 2010;362:1863-71.
Bulfari A, Ferri M, Cao P, Cirocchi R, Bisacci R, Moggi L. Surgical Care in octogenarians. Br J Surg. 2007;83:1783-7.
Yin MD, Zhang J, Wang SY, Duan ZQ, Xin SJ. Inflammatory abdominal aortic aneurysm: clinical features and long term outcome in comparison with atherosclerotic abdominal aortic aneurysm. Chin Med J (Engl). 2010;123:1255-8.
Norman PE, Powell JT. Abdominal aortic aneurysm: the prognosis in women is worse than in men. Circulation. 2007;115:2865-9.
Cerezo M, Cuacci O, Cucchetti O, Lanari N. Aneurisma de aorta abdominal roto. Hacia el tratamiento percutáneo. Rev Soc Cir Plata. 2007;63(1/2):18-26.
Lindblad B, Borner G, Gottsater A. Factors associated with development of large abdominal aortic aneurysm in middle aged men. Eur J Vasc Endovasc Surg. 2005;30:346-52.
Greenhalgh R, Powell J. Screening for abdominal aortic aneurysm. BMJ. 2007;335:732-3.
Campbell HE, Briggs AH, Buxton MJ, Kim LG, Thompson SG. The credibility of health economic models for health policy decision-making: the case of population screening for abdominal aortic aneurysm. J Health Serv Res Policy. 2007;12:11-24.
Ehlers L, Sorensen J, Jensen LG, Bech M, Kjolby M. Is population screening for abdominal aortic aneurysm cost-effective?. BMC Cardiovasc Disord. 2008;8:322-8.
Forsdahl SH, Singh K, Solberg S, Jacobsen BK. Risk factors for abdominal aortic aneurysms: a 7-year prospective study: the Tromso Study,1994-2001. Circulation. 2009;119:218-20.
Kent KC, Zwolak RM, Egorova NN, Riles TS, Manganaro A, MoskowitzAJ. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg. 2010;52:539-48.
Wang S, Zhang C, Zhang M, Liang B, Zhu H, Lee J, et al. Activation of AMPactivated protein kinase 2 by nicotine instigates formation of abdominal aortic aneurysms in mice in vivo. Nat Med. 2012;18:902-10.