Il destino dell'ottuagenario operato di aneurisma dell'aorta addominale. Studio retrospettivo

Translated title of the contribution: The fate of octogenarian patients after abdominal aortic aneurysm. A retrospective study

A. Mainente, G. Nano, D. G. Tealdi

Research output: Contribution to journalArticlepeer-review

Abstract

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 tile 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.

Translated title of the contributionThe fate of octogenarian patients after abdominal aortic aneurysm. A retrospective study
Original languageItalian
Pages (from-to)181-186
Number of pages6
JournalGiornale Italiano di Chirurgia Vascolare
Volume6
Issue number3
Publication statusPublished - 1999

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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