Surgery for Ruptured Abdominal Aortic Aneurysm in Patients over 80 Years Old.
10.4326/jjcvs.22.356
- VernacularTitle:高齢者（８０歳以上）破裂性腹部大動脈りゅうの４例
- Author:
Hitoshi FUKUMOTO
;
Takashi NISHIMOTO
;
Ken OKAMOTO
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1993;22(4):356-359
- CountryJapan
- Language:Japanese
-
Abstract:
In this study, the author evaluated surgical results in 4 patients over 80 years old (3 males and one female) who were among 24 patients with ruptured abdominal aortic aneurysm (RAAA) who underwent operation at our medical center between November, 1985 and June, 1992. While three patients survived, one, who had preoperative profound shock, died due to mutiple organ failure. The post-operative course of two of the survivors was uneventful, and the other developed non-oliguric renal failure but recovered without hemodialysis. The Fitzgerald classification of the RAAA in the non-survivor was group 4 and that in the 3 survivors was group 2 or 3. The extent of preoperative shock and volume of blood loss were associated with increased operative risk. In conclusion, aggressive resection of RAAA should be performed not only in younger parients but also in elderly patients such as those over eighty years old.
