Department of Thoracic Surgery, Bayshore Medical Center Pasadena, USAFulltext PDF
Introduction: A new combination of both new and older accepted techniques were applied to periand infra renal ruptured abdominal aortic aneurysms.
Objective: To cure a disease process with a 48% to 90% surgical mortality and 20% to 30% endovascular surgery mortality. Double blind is an adequately described mortality in the literature.
Participants: Fifteen consecutive patients had open surgery resulting in 0% mortality in the first 20 days and 7% mortality at 30 days. The technique and tables showing the demographics, main characteristics of each patient’s operative and hospital course and complication of the patient population are included in the main paper. Significant portions of the patient’s hospital records are available for reviewers to collaborate with the tables and paper as desired.
Results: Fifteen patients had 0% mortality for 20 days. One patient succumbed to pre-existing pneumonia secondary to muscular dystrophy by 30 days post-operative. No patient died as a direct result of the surgical procedure or as a direct result of the ruptured abdominal aortic aneurysm.
Conclusion: While the sample size is small it is very statistically significant p<0.0001. This level of significance is better than required for new drug or medical equipment usage. This technique will require usage at multiple medical centers in order for all surgeons treating this disease to grain confidence in it.
Randecker H. 0% Mortality in the First Twenty Days Post Operatively after Open Surgical Repair of Ruptured Abdominal Aortic Aneurysms. Ann Thorac Surg Res. 2019;1(1):1001.