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Presidential Address

E. Stanley Crawford, MD; Evan S. Cohen

Arch Surg. 1982;117(11):1393-1400.

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)

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

Footnotes
Accepted for publication July 20, 1982.

Read before the 30th scientific meeting of the International Cardiovascular Society, Boston, June 18, 1982.

Reprint requests to 6535 Fannin St, Houston, TX 77030 (Dr Crawford).

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