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Article
November 1982

Aortic Aneurysm: A Multifocal DiseasePresidential Address

Author Affiliations

From the Department of Surgery, Baylor College of Medicine and the Methodist Hospital, Houston.

Arch Surg. 1982;117(11):1393-1400. doi:10.1001/archsurg.1982.01380350001001
Abstract

• A review of 1,510 patients treated for aortic aneurysms at all levels found that 191 (12.6%) had multiple ones. More than half of those with thoracic aneurysms had other lesions, and 12% of those with abdominal aneurysms had thoracic aneurysms. Abdominal lesions were the most common secondary lesions in the former group. Early results of treatment varied with method: 90% survived when both aneurysms were treated at one operation; 84%, when operations were staged; and 80%, when operation was limited to symptomatic lesions. Most of the early deaths in the latter two groups were caused by rupture of the second aneurysm. Long-term survival was much better in patients with complete treatment. Aortic aneurysmal disease is multifocal and needs total aortic screening for diagnosis; best results are obtained by complete replacement of all disease.

(Arch Surg 1982;117:1393-1400)

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