Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos

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 Me...

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Autores principales:	Valdés E,Francisco, Bergoeing R,Michel, Krämer Sch,Albrecht, Mertens M,Renato, Canessa B,Roberto, Lema F,Guillermo, Garayar P,Bernardita, Urzúa U,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Aged 80 and over Aneurysm dissecting Surgical procedures operative
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000900003
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spelling	oai:scielo:S0034-988720030009000032004-12-13Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivosValdés E,FranciscoBergoeing R,MichelKrämer Sch,AlbrechtMertens M,RenatoCanessa B,RobertoLema F,GuillermoGarayar P,BernarditaUrzúa U,Jorge Aged 80 and over Aneurysm dissecting Surgical procedures operative 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 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 basisinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.9 20032003-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000900003es10.4067/S0034-98872003000900003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged 80 and over Aneurysm dissecting Surgical procedures operative
spellingShingle	Aged 80 and over Aneurysm dissecting Surgical procedures operative Valdés E,Francisco Bergoeing R,Michel Krämer Sch,Albrecht Mertens M,Renato Canessa B,Roberto Lema F,Guillermo Garayar P,Bernardita Urzúa U,Jorge Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
description	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 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
author	Valdés E,Francisco Bergoeing R,Michel Krämer Sch,Albrecht Mertens M,Renato Canessa B,Roberto Lema F,Guillermo Garayar P,Bernardita Urzúa U,Jorge
author_facet	Valdés E,Francisco Bergoeing R,Michel Krämer Sch,Albrecht Mertens M,Renato Canessa B,Roberto Lema F,Guillermo Garayar P,Bernardita Urzúa U,Jorge
author_sort	Valdés E,Francisco
title	Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
title_short	Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
title_full	Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
title_fullStr	Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
title_full_unstemmed	Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
title_sort	aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000900003
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Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos

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