Clinicopathological characteristics of aortic aneurysm in elderly patients
10.3760/cma.j.issn.0253-3758.2015.12.012
- VernacularTitle:老年主动脉瘤的临床病理分析
- Author:
Hua WANG
1
;
Ke CHAI
;
Fang FANG
;
Yingying LI
;
Dongge LIU
;
Jiefu YANG
Author Information
1. 100730,北京医院心内科
- Keywords:
Aortic aneurysm;
Aged;
Pathology,clinical
- From:
Chinese Journal of Cardiology
2015;43(12):1068-1072
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prevalence and clinicopathological features of aortic aneurysm (AA) in elderly inpatients at autopsy.Methods All the AA cases were retrospectively analyzed in 909 autopsy cases aged 60-100 years in our hospital.The pathological changes,comorbidities and death reasons were evaluated.Results AA was diagnosed pathologically in 59 patients (6.5％),clinical diagnosis was not made in 37(62.7％) cases.The AA prevalence in patients aged ≥ 80 years was significantly higher than patients ＜ 80 years (10.2％ vs.2.9％,x2 =19.97,P ＜ 0.01).Abdominal AA was more common (91.5％) and the prevalence of multiple AA was 20.3％.Coronary artery disease (CAD) was diagnosed in 44 AA patients (74.6％) including 21 (35.6％) with severe coronary artery stenosis and 7(11.9％) with three-vessel disease,31 patients (52.5％) died of cardiac-cerebral diseases,including 7 (11.9％) with ruptured AA.Conclusions The prevalence of AA was high in elderly inpatients aged ≥ 80 years with a relatively high missed diagnosis rate.AA was often complicated with CAD.The main cause of death of AA patients was cardiac-cerebral diseases.The screening,evaluation and treatment of AA should be enhanced in elderly patients,especially in patients aged 80 years and over.
