Clinicopathological characteristics of aortic aneurysm in elderly patients.
- Author:
Hua WANG
1
;
Ke CHAI
;
Fang FANG
;
Yingying LI
;
Dongge LIU
;
Jiefu YANG
2
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Aortic Aneurysm; Aortic Rupture; Autopsy; Coronary Artery Disease; Coronary Stenosis; Humans; Inpatients; Middle Aged; Prevalence; Retrospective Studies
- From: Chinese Journal of Cardiology 2015;43(12):1068-1072
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the prevalence and clinicopathological features of aortic aneurysm (AA) in elderly inpatients at autopsy.
METHODSAll 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.
RESULTSAA 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%, χ(2)=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.
CONCLUSIONSThe 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.
