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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 1999 September;6(3):181-6
language: English, Italian
The fate of octogenarian patients after abdominal aortic aneurysm. A retrospective study
Mainente A., Nano G., Tealdi D. G.
From the Department and Division of Vascular Surgery (Head: Prof. D. G. Tealdi) San Donato Hospital University of Milan, Milan, Italy
Background and aims. Owing to the increased mean life expectancy of the population, there is a rise in the diagnostic incidence of aneurysmatic pathology in ultra-octogenarian patients.
Methods. The authors collected data relating to the incidence of aneurysmatic pathology in ultra-octogenarian patients over a 10-year period in order to evaluate whether the surgical correction of the lesion significantly altered life expectancy compared to the mean level for the over-80-year-old population (5 years). Out of a total of 1298 patients undergoing endoaneurysmectomy, 26% were >80 years old (71 patients), and of these, 56 patients (22%) were operated electively and 15 (4%) underwent emergency surgery.
Results. The data obtained from this study confirm the fact that, at a distance of 54 months after traditional endoaneurysmatic surgery, over 82% of ultra-octogenarian patients had died. Death was associated either with fatal complications relating to pre-existing risk factors or the evolution of pathologies unrelated to aneurysmatic disease.
Conclusions. In conclusion, this study argues in favour of rethinking the tendency to operate on ultra-octogenarian patients: surgery should be reserved for more favourable cases based on the clinical condition of patients or for contingent situations that call for emergency treatment.