Juxtarenal aortic occlusion

S. S. Tapper, J. M. Jenkins, William Edwards, J. L. Mulherin, R. S. Martin, W. H. Edwards

    Research output: Contribution to journalArticle

    22 Citations (Scopus)

    Abstract

    The authors' experience with 113 aortic occlusions in 103 patients during a 26-year period (1965 to 1991) is reviewed. The authors found three distinct patterns of presentation: group I (n = 26) presented with acute aortic occlusion, group II (n = 66) presented with chronic aortic occlusion, and group III (n = 21) presented with complete occlusion of an aortic graft. Perioperative mortality rates were 31%, 9%, and 4.7% for each respective group and achieved statistical significance when comparing group I with group II (p = 0.009) and group I with group III (p = 0.015). Group I presented with profound metabolic insults due to acute ischemia and fared poorly. Group II presented with chronic claudication and did well long-term. Group III presented with acute ischemia but did well because of established collateral circulation. The treatment and expected outcome of aortic occlusion depends on the cause.

    Original languageEnglish (US)
    Pages (from-to)443-450
    Number of pages8
    JournalAnnals of surgery
    Volume215
    Issue number5
    DOIs
    StatePublished - Jan 1 1992

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    Ischemia
    Collateral Circulation
    Transplants
    Mortality

    All Science Journal Classification (ASJC) codes

    • Surgery

    Cite this

    Tapper, S. S., Jenkins, J. M., Edwards, W., Mulherin, J. L., Martin, R. S., & Edwards, W. H. (1992). Juxtarenal aortic occlusion. Annals of surgery, 215(5), 443-450. https://doi.org/10.1097/00000658-199205000-00006

    Juxtarenal aortic occlusion. / Tapper, S. S.; Jenkins, J. M.; Edwards, William; Mulherin, J. L.; Martin, R. S.; Edwards, W. H.

    In: Annals of surgery, Vol. 215, No. 5, 01.01.1992, p. 443-450.

    Research output: Contribution to journalArticle

    Tapper, SS, Jenkins, JM, Edwards, W, Mulherin, JL, Martin, RS & Edwards, WH 1992, 'Juxtarenal aortic occlusion', Annals of surgery, vol. 215, no. 5, pp. 443-450. https://doi.org/10.1097/00000658-199205000-00006
    Tapper SS, Jenkins JM, Edwards W, Mulherin JL, Martin RS, Edwards WH. Juxtarenal aortic occlusion. Annals of surgery. 1992 Jan 1;215(5):443-450. https://doi.org/10.1097/00000658-199205000-00006
    Tapper, S. S. ; Jenkins, J. M. ; Edwards, William ; Mulherin, J. L. ; Martin, R. S. ; Edwards, W. H. / Juxtarenal aortic occlusion. In: Annals of surgery. 1992 ; Vol. 215, No. 5. pp. 443-450.
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    AU - Tapper, S. S.

    AU - Jenkins, J. M.

    AU - Edwards, William

    AU - Mulherin, J. L.

    AU - Martin, R. S.

    AU - Edwards, W. H.

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