An aortic aneurysm is an enlargement dilatation of the aorta to greater than 1. They are most commonly located in the abdominal aorta , but can also be located in the thoracic aorta. Aortic aneurysms cause weakness in the wall of the aorta and increase the risk of aortic rupture. When rupture occurs, massive internal bleeding results and, unless treated immediately, shock and death can occur.
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Results of the surgical management of abdominal aortic aneurysms in 80 patients over 80 years of age. Background: Abdominal aortic aneurysms AAA may be lethal unless appropriately and timely treated.
Since age is a surgical risk, octogenarians are usually not considered as candidates for surgical intervention. Aim: To asses surgical complications and mortality in octogenarians treated for AAA.
Subjects and Methods: Patients aged 80 years older, treated consecutively between were retrospectively analyzed. Results: Sixty one patients were male, and their age ranged from 80 to 95 years. All were treated with open surgery. The operation was elective in 58 and as an emergency in 22 patients symptomatic or ruptured AAA. Aortic diameter was 6. Thirty days postoperative mortality was 5. Five years survival rate was Conclusions: Elective surgery for asymptomatic AAA can be performed with low operative mortality in octogenarians.
However, surgery in emergency cases has an 8 fold increase in risk. Accordingly, octogenarian patients should be considered for elective AAA repair in a selective basis. Key Words: Aged, 80 and over; Aneurysm, dissecting; Surgical procedures, operative Recibido el 18 de marzo, Todos fueron operados en forma convencional.
Figura 1. Figura 2. Las causas de mortalidad perioperatoria se muestran en la Tabla 3. Figura 3. Sobrevida alejada de los pacientes operados en forma electiva versus los operados de urgencia, sin incluir la mortalidad operatoria. Figura 4. Sin embargo, hay suficiente evidencia de que la morbimortalidad depende en parte de factores predecibles, modificables o controlables 3 - 6 , 8.
Cabe destacar que 2 pacientes en el grupo complicado fueron intervenidos por ruptura de un AAA menor a 5,5 cm. Increasing prevalence of abdominal aortic aneurysms. A necropsy study. Eur J Surg ; Infrarenal abdominal aortic aneurysm. Factors influencing survival after operation performed over a 25 years period.
Ann Surg ; Operative mortality rates for intact and ruptured abdominal aortic aneurysms in Michigan: an eleven years statewide experience. J Vasc Surg ; Open infrarenal abdominal aortic aneurysm repair: The Cleveland Clinic experience from to Ten years experience with abdominal aortic aneurysm repair in octogenarians: early results and late outcome.
Results of elective abdominal aortic aneurysm repair in the 's: a population based analysis of cases. Operative treatment of abdominal aortic aneurysms in octogenarians. When is it too much too late? Ann Vasc Surg ; Prognosis of abdominal aortic aneurysms. A population based study. N Engl J Med ; Impact of vascular surgery on community from ruptured aortic aneurysms.
Br J Surg ; Outcome in patients with a large abdominal aortic aneurysm considered unfit for surgery. Prognosis of patients turned down for conventional abdominal aortic aneurysm repair in the endovascular and sonographic era: Szilagyi revisited? Immediate repair compared with surveillance of small abdominal aortic aneurysms. Long term outcomes of immediate repair compared with surveillance of small abdominal aortic aneurysms.
Transfemoral intraluminal graft implantation for abdominal aortic aneurysm. Ann Vas Surg ; 5: Rev Chil Cardiol ; Endoluminal graft repair for abdominal aortic aneurysms in high risk patients and octogenarians.
Fax: E mail: franval med. Servicios Personalizados Revista. Results of the surgical management of abdominal aortic aneurysms in 80 patients over 80 years of age Background: Abdominal aortic aneurysms AAA may be lethal unless appropriately and timely treated. Referencias 1.
Aneurisma aórtico abdominal
Aneurisma de la Aorta Abdominal (AAA)
Opciones de tratamiento para el aneurisma aórtico abdominal