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Related Experiment Video

Updated: Aug 14, 2025

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

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Ascending Aorta Sacular Aneurysm.

Nuno Carvalho Guerra¹, Tiago Velho¹, André Sena¹

¹Cardiothoracic Surgery Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery

|January 14, 2023

Summary

This summary is machine-generated.

An 83-year-old woman with an ascending aortic aneurysm was deemed ineligible for surgery. She remained stable for over 40 months without aneurysm growth, suggesting a conservative management approach may be viable.

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Area of Science:

Cardiovascular Medicine
Geriatric Medicine
Vascular Surgery

Background:

Ascending aortic aneurysms pose significant risks, often necessitating surgical intervention.
Patient comorbidities, including advanced age and incipient dementia, complicate treatment decisions.

Observation:

An 83-year-old female presented with chest pain and was diagnosed with a saccular ascending aortic aneurysm adjacent to the sternum.
Surgical intervention was contraindicated due to patient's age, cognitive status, and sternal entry risks.

Findings:

Coronary angiography revealed normal coronary arteries, excluding ischemic heart disease as the cause of chest pain.
The patient was managed conservatively and remained clinically stable for 40 months post-discharge, with no observed aneurysm expansion.

Implications:

This case highlights the potential for successful conservative management of ascending aortic aneurysms in select elderly patients with multiple comorbidities.
Careful patient selection and risk stratification are crucial when considering treatment options for aortic aneurysms in the elderly population.