Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos / Abdominal aortic aneurysms in patients over 80 years of age: conventional surgical treatment in 80 consecutive cases
Rev. méd. Chile
;
131(9): 981-986, sept. 2003.
Artículo
en Español
| LILACS
| ID: lil-356015
RESUMO
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 ANDMETHODS:
Patients aged 80 years older, treated consecutively between 1984-2001 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 6.8 +/- 1.4 cm in asymptomatic patients and 7.7 +/- 1.8 cm in emergency cases (p = 0.024). Thirty days postoperative mortality was 5.1% in elective surgery compared to 40.6% in emergency operations (p < 0.01). Five years survival rate was 44.7% in asymptomatic patients compared to 10.4% in the emergency cases (p < 0.023).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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Aneurisma de la Aorta Abdominal
/
Disección Aórtica
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2003
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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