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[Aortic dissection in elderly patients].

T Kazui1, N Washiyama

  • 1Department of First Surgery, Hamamatsu University, School of Medicine, Hamamatsu, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 16, 2005
PubMed
Summary
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Surgical repair of aortic dissection in octogenarians yielded acceptable outcomes, with no in-hospital mortality. Age alone should not preclude emergency aortic dissection surgery in elderly patients.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Geriatric Medicine

Context:

  • Aortic dissection poses significant risks, particularly in elderly populations.
  • Surgical intervention for aortic dissection in octogenarians is debated due to perceived high risks.
  • This study evaluates surgical outcomes for aortic dissection in patients aged 80 and above.

Purpose:

  • To assess the safety and efficacy of surgical repair for aortic dissection in octogenarians.
  • To determine the feasibility of aortic dissection surgery in elderly patients.
  • To analyze postoperative complications and long-term survival in this cohort.

Summary:

  • Twelve octogenarians underwent aortic dissection surgery between 1997 and 2004.
  • Procedures included total and hemiarch replacement, often with cerebral perfusion techniques.

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  • No hospital mortality occurred; long-term survival was impacted by respiratory failure in two patients.

    • Impact:

    • Surgical intervention for aortic dissection in octogenarians can achieve acceptable results.
    • The findings challenge the notion that advanced age is an absolute contraindication for emergency aortic dissection surgery.
    • This study supports a case-by-case approach to surgical decision-making in elderly patients with aortic dissection.