• Cynthia de Almeida Mendes, Nelson Wolosker, Alexandre Fioranelli, Ricardo Abreu Feijó de Mello, Maria Fernanda Cassino Portugal, Marcelo Fiorelli Alexandrino da Silva, Roberto Augusto Caffaro, Lucas Lembrança Pinheiro, and Marcelo Passos Teivelis.
• Hospital Israelita Albert Einstein - São Paulo (SP), Brazil.
• Rev Assoc Med Bras (1992). 2021 Jun 1; 67 (5): 747-752.

ObjectiveThis study examines the changes in anxiety and depression scores of 84 patients subjected to aortic or iliac aneurysm correction with no previous psychiatric history.MethodsPatients were referred to the evaluation using the Beck Anxiety and Depression Inventories no more than 3 days before surgery (i.e., preoperative [Pre-Op]), 30 days after revascularization (i.e., Early postoperative [PO]), and at least 6 months after revascularization (i.e., Late PO).ResultsMean anxiety scores declined from baseline at both the Early (mean difference: 2.75, p<0.001) and Late PO (mean difference: 2.74, p=0.001). The depression levels showed no significant variation in either evaluation (Early PO; mean difference: -0.84, p>0.05, Late PO: 0.87, p=0.05). A more severe degree of anxiety at baseline was related to better anxiety results both in the Early PO (p=0.041) and Late PO (p=0.008). An endovascular technique was related to the improvement in depression symptoms in the Early PO (p=0.01) but the worsening of the symptoms in the Late PO (p=0.033).ConclusionsPatients subjected to aortoiliac aneurysm corrections have a higher incidence of anxiety and depressive symptoms. Anxiety symptoms, but not the depressive ones, improved considerably following the successful treatment. The formal psychiatric evaluation may be beneficial for patients with less improvement in the symptom.

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