Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

257
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...
257
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

401
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...
401

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Rethinking endoleaks: is it time to change the name?

Journal of vascular surgery·2026
Same author

Smoking Status Predicts Mortality after Carotid Endarterectomy for Symptomatic Disease but Not after Carotid Stenting or Transcarotid Revascularization.

Annals of vascular surgery·2026
Same author

Tibial access is associated with tibial intervention in claudicants.

Journal of vascular surgery·2026
Same author

Outcomes after infrainguinal interventions for intermittent claudication in patients with end-stage renal disease are poor.

Journal of vascular surgery·2025
Same author

Reproducibility of the 2020 Society for Vascular Surgery/Society of Thoracic Surgeons Reporting Standards for Uncomplicated Type B Aortic Dissection.

Radiology. Cardiothoracic imaging·2025
Same author

Laser in situ fenestrated endograft (LIFE) repair of complex aortic arch pathology: Early outcomes from the multicenter LIFE registry.

Journal of vascular surgery·2025

Related Experiment Video

Updated: Jan 18, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.2K

Complex aortic repair in older adults.

Maha Haqqani1, Hans Boggs1, Jordan R Stern1

  • 1Division of Vascular and Endovascular Surgery, Weill Cornell Medicine, 525 E 68(th) Street, F-835, New York, NY 10003.

Seminars in Vascular Surgery
|September 8, 2025
PubMed
Summary

Aortic repair in older adults (80+) requires careful risk assessment and management due to unique challenges. Individualized optimization is key to successful outcomes, minimizing morbidity and preserving independence.

Keywords:
AgingAortic aneurysmAortic dissectionEndovascular repairFrailtyOpen repair

More Related Videos

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

858
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.6K

Related Experiment Videos

Last Updated: Jan 18, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.2K
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

858
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.6K

Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Vascular Surgery

Background:

  • Complex aortic pathology identification and repair are increasing in the aging population.
  • Older adult patients (80+ years) present unique challenges for aortic repair, including comorbidities and functional decline.

Purpose of the Study:

  • To review evidence-based risk assessment and perioperative management strategies for aortic repair in older adults.
  • To examine outcomes of open and endovascular procedures for complex aortic pathology in this demographic.
  • To address ethical and social considerations in treating elderly patients with aortic disease.

Main Methods:

  • Review of evidence-based risk assessment tools, including geriatric assessments and frailty indices.
  • Examination of perioperative management and prehabilitation strategies.
  • Analysis of outcomes for open, endovascular, fenestrated, and branched aortic repairs in patients aged 80 and older.

Main Results:

  • Older adults face significant challenges in aortic repair due to medical comorbidities and functional status.
  • Both open and endovascular approaches are considered, with a focus on complex repairs like fenestrated/branched techniques.
  • Ethical considerations, shared decision-making, and cost are important factors in treatment planning.

Conclusions:

  • Careful patient selection and individualized optimization are critical for successful aortic repair in older adults.
  • The goal is to minimize morbidity and loss of independence while maintaining positive surgical outcomes.
  • Tailored management strategies are essential for this vulnerable patient population undergoing aortic interventions.