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Abdominal aortic aneurysmectomy in the octogenarian
1Second Department of Surgery, Fukui Medical University Hospital, 23 Shimo-aizuki, Matsuoka-cho, Yoshida-gun, Fukui 910-1193, USA.
Summary
Surgical repair of abdominal aortic aneurysms (AAA) in patients over 80 is safe and improves quality of life. Focus on physiological status, not just age, for selecting octogenarian patients for AAA resection.
Area of Science:
- Vascular Surgery
- Geriatric Medicine
- Aortic Aneurysm Research
Background:
- Abdominal aortic aneurysms (AAA) pose significant risks, especially in elderly populations.
- Octogenarians (patients aged 80+) undergoing AAA resection present unique surgical challenges and outcomes require careful evaluation.
Purpose of the Study:
- To evaluate the risks, outcomes, and postoperative quality of life in patients aged 80 years or older undergoing abdominal aortic aneurysm (AAA) resection.
- To determine the impact of preoperative risk factors on mortality and survival in this specific patient cohort.
Main Methods:
- Retrospective analysis of 11 patients aged 80+ who underwent AAA resection.
- Assessment of operative mortality, urgent operation indications, and long-term survival.
- Evaluation of postoperative quality of life using standardized metrics.
Main Results:
- Operative mortality was 9% (1/11).
- Three patients required urgent surgery due to impending or contained rupture.
- Preoperative risk factors did not significantly influence operative mortality or long-term survival.
- Postoperative quality of life was not adversely affected by AAA resection.
Conclusions:
- Surgical treatment of abdominal aortic aneurysms (AAA) is a viable option for selected octogenarians, particularly to prevent rupture.
- Patient selection for AAA resection should prioritize physiological status over chronological age.
- Selected octogenarians can achieve a good quality of life after AAA repair.