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[Aortic arch surgery in the elderly]

K Tayama1, H Akashi, T Okazaki

  • 1Department of Surgery, Kurume University School of Medicine, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 1, 1997
PubMed
Summary
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Elderly patients (over 75) undergoing aortic arch operations face significantly higher hospital mortality rates compared to younger groups. Risk factors and operative indications in this age group require careful consideration.

Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Vascular Surgery

Context:

  • Aortic arch operations are complex procedures.
  • Hypothermic selective cerebral perfusion is a technique used during these surgeries.
  • Assessing outcomes in elderly patients is crucial due to physiological changes.

Purpose:

  • To analyze the outcomes of aortic arch operations in patients over 75 years old.
  • To compare mortality and complication rates between elderly and younger patient groups.
  • To discuss risk factors and operative indications for aortic arch surgery in the elderly.

Summary:

  • A study compared 16 patients over 75 (Group O) with younger groups (70-74, Group M; <69, Group Y) undergoing aortic arch operations.
  • Group O experienced significantly higher hospital mortality (31.2%) compared to Group Y (5.3%).

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  • Cerebral complications (12.5%) and respiratory failure (47%) were noted in Group O, highlighting challenges in elderly patients.

    • Impact:

    • Operative mortality in the elderly undergoing aortic arch surgery remains high.
    • Findings emphasize the need for careful evaluation of risk factors and surgical indications in geriatric populations.
    • This research informs surgical decision-making for complex aortic arch procedures in older adults.