Browsing by Author "Fatic, Nikola (56108975900)"

Introduction: Acute aortic type III dissection is one of the most catastrophic events, with in-hospital mortality ranging between 10% and 12%. The majority of patients are treated medically, but complicated dissections, which represent 15% to 20% of cases, require surgical or thoracic endovascular aortic repair (TEVAR). For the best outcomes adequate blood transfusion support is required. Interest in the relationship between blood type and vascular disease has been established. The aim of our study is to evaluate distribution of blood groups among patients with acute aortic type III dissection and to identify any kind of relationship between blood type and patient's survival. Material and methods: From January 2005 to December 2014, 115 patients with acute aortic type III dissection were enrolled at the Clinic of Vascular and Endovascular Surgery in Belgrade, Serbia and retrospectively analyzed. Patients were separated into two groups. The examination group consisted of patients with a lethal outcome, and the control group consisted of patients who survived. Results: The analysis of the blood groups and RhD typing between groups did not reveal a statistically significant difference (p = 0.220). Conclusions: Our results indicated no difference between different blood groups and RhD typing with respect to in-hospital mortality of patients with acute aortic dissection type III. Copyright © 2016 Termedia & Banach.

[No abstract available]

Objective: To assess results of open repair (OR) of AAA in a single high volume center. Methods: We analyzed prospectively collected data of 450 patients who underwent elective OR of AAA at the Clinic for Vascular and Endovascular Surgery of the Serbian Clinical Centre in the period between January 2013 and September 2014. Results: Postoperative death occurred in seven patients (1. 55%) during the first 30 postoperative days. The mortality was caused by: uncontrolled bleeding-1, acute myocardial infarction-1, ischemic colitis-2, MOFS-2, sepsis due to infection and dehiscence of laparotomy wound-1. Coronary artery disease (OR 3.89; CI 0.85–17.7; p = 0.0058), postoperative acute myocardial infarction (OR 29.9; CI 2.56–334.95; p = 0.0053), chronic renal failure (OR 7.5; CI 1.35–8.5; p = 0.0073), colonic necrosis (OR 88.2; CI 4.77–1629.69; p = 0.0026), occlusion of the both hypogastric arteries and the inability to preserve at least one hypogastric artery (OR 17.4; CI 1.99–178.33; p = 0.0230), aortobifemoral reconstruction (OR 9.06; CI 1.76–46.49; p = 0.016), significant perioperative bleeding (>2 L) (OR 7.32; CI 1.31–10.79; p = 0.0001), hostile abdomen (OR 5.25; CI 1.3–21.1; p = 0.0055), inflammatory aneurysm (OR 13.99; CI 2.88–65.09; p = 0.0002), supraceliac aortic cross-clamping (OR 18.7; CI 3.8–90.6; p = 0.0003), prolonged aortic cross-clamping (>60 min) (OR 14.25; CI 2.75–64.5; p = 0.0003), the intraoperative hypotension (OR 6.61; CI 0.71–61.07; p = 0.0545), the prolonged operation (>240 min) (OR 8.66; CI 0.91–81.56; p = 0.0585) and complete dehiscence of the laparotomy (OR 44.1; CI 3.39–572.78; p = 0.0396) increased the 30-day mortality in our study. Conclusions: Early mortality after open repair of AAA in high volume center might be very low due to experienced multidisciplinary team. Centralized open aortic surgery might be solution for effective treatment of patients with unsuitable anatomy or for young patients with long life expectancy. © 2016, Société Internationale de Chirurgie.

Blunt abdominal aortic injuries are extremely rare, diagnosed in less than 0.05% of all trauma admissions. Aortic injury caused by a seat belt during a car accident is often referred as “seat-belt aorta”. We present a case of an 18-year-old woman, restrained back passenger involved in a vehicular collision, sustaining vertebral column and multiple rib fractures, mesenterium and colonic injury, and infrarenal aortic contusion with localized dissection and partial thrombosis. © 2018 Elsevier Inc.