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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2001 August;42(4):525-8

VASCULAR SECTION 

    ORIGINAL ARTICLES

A decade of experience with abdominal aortic aneurysm repair in octogenarians

Mailapur R., Yousuf A. M. *, Girishkumar H. T., Pathak R., Gerst P. H., Berroya R. **

From the Department of Surgery at Bronx-Lebanon Hospital Center, Bronx, NY
*Newark Beth Israel Medical Center, Newark, N.J.
**St. Francis Hospital, Roslyn, NY, USA

Background. Should abdom­i­nal aor­tic aneu­rysms (AAA) be elec­tive­ly ­repaired in octo­ge­nar­ians?
Methods. This was a ret­ro­spec­tive ­review of ­patients’ ­charts ­over a ten-­year peri­od start­ing in January 1995. This ­study was con­duct­ed at St. Francis Hospital, Roslyn, New York, ­which is a ter­tiary refer­ral cen­ter. All octo­ge­nar­ians who under­went AAA ­repair (elec­tive and emer­gent) ­were includ­ed in ­this ­study (­mean age 82.9 ­years). A ­total of 71 ­such ­patients ­were iden­ti­fied. Sixty-two ­patients had elec­tive sur­gery and ­nine ­patients had emer­gent ­repair of the rup­tured AAA. It was hypoth­e­sized ­before the ­study was con­duct­ed ­that AAA ­could be ­repaired in octo­ge­nar­ians ­with accept­able mor­bid­ity and mor­tal­ity in an insti­tu­tion ­with ­vast expe­ri­ence in deal­ing ­with ­this dis­ease.
Results. The ­mean aneu­rysm diam­e­ter was 6.73 cm. Twenty ­patients (28%) ­received bifur­cat­ed ­grafts, ­while 51 ­patients (72%) ­received tubu­lar ­grafts. Four ­patients had cor­o­nary ­artery ­bypass ­graft ­before aneu­rysm sur­gery. Forty-­four ­patients (62%) ­were ­male and 27 (38%) ­were ­female. The thir­ty day mor­tal­ity ­rate ­after elec­tive AAA ­repair was 1.4%, where­as ­after the ­repair of rup­tured aneu­rysms was 44.4%.
Conclusions. We con­clud­ed ­that the elec­tive ­repair of abdom­i­nal aneu­rysms in ­most octo­ge­nar­ians is a ­safe and ­life-pro­long­ing pro­ce­dure if per­formed in an expe­ri­enced ter­tiary cen­ter.

language: English


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