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[Subrenal abdominal aortic aneurysms--critical analysis of deteriorating medico-social problem].

An analysis of patients that have been accepted at the Dept. of vascular surgery, Higher Medical Institute of Plovdiv, Bulgaria, is presented. The number of patients with subrenal abdominal aortic aneurysm for a period of ten years is 201. Most of the patients are with the symptoms of AAA-163, there are 33 with rupture of the aneurysm and 5 with aneurysm for which there were no symptoms. Eighty of the patients have been operated--resection of abdominal aorta with replacement. 72.5% of the patients left the hospital with normal preoperative condition and without any complications. Post-operative mortality is as follows: when there were no symptoms it was 0%, when there were symptoms it was 5.66%; when there was rupture it was 39.2%. Patients that have lived longer than 5 years are 68%. The data from our own research is compared to the data found in the literature. No matter the good outcomes some critical conclusions may be made. The number of patients accepted at the hospital is not real and is far under the real number, what is more--the patients are accepted with an advanced disease. Smarter decisions should be taken by the authorities.