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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Related Experiment Video

Updated: Aug 7, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Elective Ascending Aortic Aneurysm Surgery in the Elderly.

Feyza Memis1, Carlijn G E Thijssen1,2, Arjen L Gökalp3

  • 1Department of Cardiology, Erasmus University Medical Center, 3015 CN Rotterdam, The Netherlands.

Journal of Clinical Medicine
|March 11, 2023
PubMed
Summary

Preventive surgery for ascending aortic aneurysms in elderly patients shows comparable short-term outcomes to younger patients. However, long-term survival is lower in the elderly, highlighting the need for careful consideration in surgical decisions.

Keywords:
aortic aneurysmaortic rootaortic surgeryascending aortaelderly

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Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Aortic Aneurysm Research

Background:

  • Ascending aortic (AA) aneurysm management lacks clear guidelines for elderly patients.
  • This study addresses the need for evidence-based surgical decision-making in older populations.

Purpose of the Study:

  • To evaluate patient and procedural characteristics for ascending aortic aneurysm surgery in elderly patients.
  • To compare early outcomes and long-term mortality between elderly and non-elderly patients undergoing elective AA surgery.

Main Methods:

  • A multicenter retrospective observational cohort study was conducted.
  • Data from 2006-2017 included 724 non-elderly and 231 elderly patients (≥70 years).
  • Clinical presentation, outcomes, and mortality were compared between age groups.

Main Results:

  • Elderly patients presented with larger aortic diameters and more cardiovascular risk factors.
  • Short-term mortality was similar between elderly (3.0%) and non-elderly (1.5%) patients.
  • Five-year survival was significantly lower in elderly (81.4%) versus non-elderly (93.9%) patients.

Conclusions:

  • Elderly patients, particularly females, face a higher threshold for undergoing ascending aortic aneurysm surgery.
  • Despite differences in presentation, short-term surgical outcomes are comparable between 'relatively healthy' elderly and non-elderly individuals.
  • Long-term survival disparities underscore the importance of individualized risk assessment in elderly patients.