OBJECTIVE: To determine the morbidity and mortality of surgical treatment of @entity2849 , we analyzed the results of 158 consecutive surgical procedures for repair of @entity2849 that were detected as a result of a surveillance program after aortic reconstruction with a prosthesis. DESIGN: Retrospective analysis of @entity1 data from a vascular registry that included information on the long-term follow-up of our @entity1 . SETTING: A university hospital (tertiary referral center) in the Netherlands that has been performing vascular reconstructive surgery since 1958. @entity1 : We performed 158 surgical procedures on 135 @entity1 with 220 noninfected @entity2849 . Using a yearly surveillance program, the @entity2849 were detected at a mean interval of 8 years after the initial reconstruction. Most @entity1 (60%) were asymptomatic. The operation was performed as an emergency in 25 instances (16%). RESULTS: The mortality rate of @entity1 receiving nonsurgical treatment was very high (61%) owing to documented @entity397 (11 of 18 @entity1 ). The intraoperative death rate was 7.6% per procedure. This was higher for emergency (24%) than for elective procedures (4.5%). CONCLUSIONS: Conservative follow-up carries a very high mortality rate, as does emergency surgery for a @entity2849 . However, the intraoperative mortality rate of elective reconstruction of a @entity2849 can be in the same range as that of elective primary aortic reconstruction. Therefore, we advocate a surveillance program, including yearly ultrasound studies, after prosthetic aortic reconstruction for the timely detection and elective repair of all @entity2849 .

Morbidity and mortality of reconstructive surgery of noninfected XXXX detected long after aortic prosthetic reconstruction.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['false (anastomotic) aneurysms', 'false aneurysm', 'false aneurysms']
@entity2849 :: (MESH:D017541,Disease) :: ['false aneurysms']
