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A 103 Year Old Man With a Ruptured Abdominal Aortic Aneurysm
Satoshi Nishi1, Kanan Kurahashi1, Takaharu Shimizu1
1Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Ibaraki, Japan.
EJVES Vascular Forum
|October 20, 2020
Summary
This case report details the successful emergency endovascular aortic repair in a 103-year-old patient with a ruptured abdominal aortic aneurysm. This represents the oldest patient documented to have a successful outcome for this critical condition.
Area of Science:
- Vascular Surgery
- Geriatric Medicine
- Endovascular Interventions
Background:
- Abdominal aortic aneurysm (AAA) treatment in nonagenarians is increasing with stent graft use.
- Ruptured AAA presents a critical surgical challenge, especially in the elderly population.
- Assessing operative indications requires a holistic approach beyond chronological age.
Observation:
- A 103-year-old male presented with a ruptured abdominal aortic aneurysm.
- Emergency endovascular aortic repair (EVAR) was performed successfully.
- The patient experienced an uneventful recovery and was discharged on postoperative day 11.
Findings:
- Successful EVAR in a 103-year-old patient with ruptured AAA.
- The patient demonstrated a positive outcome, doing well two months post-discharge.
- This case represents the oldest patient reported with a successful outcome for ruptured AAA treated with EVAR.
Implications:
- Chronological age alone should not preclude treatment for ruptured AAA in elderly patients.
- Comprehensive pre-operative assessment, including daily life activities and patient/family wishes, is crucial.
- This case highlights the potential for successful EVAR in extremely elderly patients with ruptured AAA, expanding treatment possibilities.
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