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Updated: Jun 16, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Is conventional aortic arch surgery justifiable in octogenarians?

Kenji Minatoya¹, Hitoshi Ogino, Hitoshi Matsuda

¹Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 5658565, Japan. minatoya@hsp.ncvc.go.jp

The Journal of Thoracic and Cardiovascular Surgery

|February 24, 2010

Summary

Aortic arch surgery in octogenarians shows improving outcomes. Despite risks, conventional surgical options are viable for elderly patients with aortic arch diseases, even in emergencies.

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Last Updated: Jun 16, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Geriatric Medicine

Background:

Conventional aortic arch replacement is invasive, with advanced age increasing surgical risks.
The population of octogenarians undergoing cardiovascular surgery is growing.
Analyzing outcomes in this elderly demographic is crucial for surgical decision-making.

Purpose of the Study:

To evaluate the outcomes of conventional aortic arch replacement in octogenarian patients.
To assess the safety and efficacy of this procedure in an elderly population.

Main Methods:

A retrospective analysis of 114 patients (113 octogenarians, 1 nonagenarian) who underwent aortic arch replacement between 1995 and 2007.
Procedures utilized hypothermic circulatory arrest with antegrade or retrograde cerebral perfusion.
Data collected included operative details, complications, and survival rates.

Main Results:

Total hospital mortality was 7.9%, with lower rates after 2002 (4.5%) compared to earlier periods (19.2%).
Perioperative stroke occurred in 9.6% of patients; transient neurologic dysfunction in 7.0%.
Postoperative 1, 3, and 5-year survival rates were 84.8%, 68.5%, and 58.1%, respectively.

Conclusions:

Conventional aortic arch surgery in octogenarians demonstrates improving results and acceptable operative risk.
The procedure is a viable option even for emergency cases, including acute aortic dissection.
Chronological age alone should not preclude patients from receiving conventional surgical treatment for aortic arch diseases.