MOHAMMAD ALSALALDEH, İBRAHİM GÖKŞİN
Journal of Updates in Cardiovascular Medicine - 2025;13(2):81-90
Objectives Aortic aneurysms are significant health risks, particularly in regions with limited specialized care. Despite advancements in imaging and surgical techniques, disparities in healthcare access influence outcomes. This study evaluates epidemiological trends, procedural outcomes, and referral dynamics, aiming to improve care strategies for aortic aneurysm patients. Materials and Methods This retrospective study analyzed data from 699 patients treated for aortic aneurysms between 2010 and 2023 at a single referral cardiovascular center in Southwestern Türkiye. The dataset included information on patient demographics, referral sources, birthplace of patients, aneurysm classifications, procedural details, length of hospitalization, and mortality outcomes. Statistical analyses were performed to identify significant predictors of clinical outcomes, with a significance threshold of p<0.05. RESULTS The cohort was predominantly male (79.26%) with a mean age of 61.89 years. Ascending aortic graft replacements (42.21%) were the most common procedures, followed by abdominal (25.32%) and thoracic (13.45%) repairs. The overall mortality rate was 18.60%, with higher rates in Afyonkarahisar (23.53%) and Burdur (21.43%). Denizli accounted for 56.51% of referrals, underscoring its central role in regional care. CONCLUSION High-volume centers like Denizli play a crucial role in managing complex vascular cases. Addressing healthcare disparities through improved referral systems and early detection strategies is essential for enhancing outcomes across Southwestern Türkiye.
