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Is prompt surgical treatment of an abdominal aortic aneurysm justified for someone in their eighties?

April 26, 2017Abdominal aneurysm aortic eighties National prompt PubMed surgical treatment

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Is prompt surgical treatment of an abdominal aortic aneurysm justified for someone in their eighties?

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OBJECTIVES: The aim of this study is to review the early and long-term results and quality of life after abdominal aortic aneurysm (AAA) surgery in octogenarians to justify our prompt surgical intervention. PATIENTS AND METHODS: We reviewed the consecutive 444 patients who underwent graft replacement of AAA in our center from October 1997 to September 2002. The median age of the patients was 72.3. An elective operation was carried out in 401 cases (90.3%) and an emergency operation in 43 cases (9.7%). We evaluated the early and long-term results of AAA surgical treatment, including the quality of life after hospital discharge. RESULTS: There were 12 hospital deaths (2.7%) in the early outcomes, 11 of which (25.6%) were during emergency operations, and only one patient (0.2%) died among the elective cases (p <.0001). In the early results, the emergency operation (p = 0.0001) was the only risk factor in the early deaths investigated by the multivariate logistic regression; patients aged