Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Is 80 years too old for aneurysmectomy?

T F O'Donnell, R C Darling, R R Linton

Archives of Surgery (Chicago, Ill. : 1960)

|November 1, 1976

Summary

Octogenarians with abdominal aortic aneurysms (AAA) have better survival rates with elective resection compared to conservative management. Surgical mortality for non-ruptured AAA in this age group is low, with comparable long-term survival to the general population.

Related Concept Videos

You might also read

Related Articles

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

Sort by

Same author

Carotid interventions (CEA and CAS) in acute stroke patients: which procedure on which patient.

The Journal of cardiovascular surgery·2015

Same author

Factors maintaining heat balance of the clothed man at different grades of activity in the cold.

Federation proceedings·2010

Same author

Physiological reactions of men working in the cold in relation to the amount of clothing worn.

Federation proceedings·2010

Same author

Metastatic hypernephroma of the thyroid gland.

Surgery, gynecology & obstetrics·2010

Same author

Tuberculous salpingo-oophoritis.

The New England journal of medicine·2010

Same author

Diagnosis and treatment of thrombo-embolic disease.

The Medical clinics of North America·2010

Area of Science:

Vascular Surgery
Geriatric Medicine
Cardiovascular Disease

Background:

Abdominal aortic aneurysm (AAA) is a significant health concern in the elderly.
Surgical intervention for AAA in octogenarians presents unique challenges and risks.

Purpose of the Study:

To evaluate the outcomes of surgical resection for abdominal aortic aneurysms (AAA) in patients aged 80 years and older.
To compare the mortality rates and long-term survival between elective AAA resection, repair of expanding aneurysms, and conservative management.

Main Methods:

Retrospective analysis of 111 patients aged 80+ with abdominal aortic aneurysm (AAA).
Categorization of patients into groups: aneurysm resection and grafting (n=86), ruptured AAA (n=30), expanding aneurysm (n=19), and elective surgery (n=44).
Assessment of operative mortality, postoperative complications, and long-term survival.

Main Results:

Operative mortality for ruptured AAA was high (74%), while elective AAA resection had low mortality (2%).
Overall mortality for non-ruptured AAA resection in 63 octogenarians was 4.7%.
Long-term survival was comparable to the general octogenarian population, with no adverse impact on quality of life. Conservative management resulted in a 50% mortality from ruptured AAA.

Conclusions:

Elective surgical resection of abdominal aortic aneurysms (AAA) is a safe and effective option for octogenarians.
Physiological age, rather than chronological age, should guide the decision for AAA resection in elderly patients.
Surgical intervention for non-ruptured AAA in octogenarians offers favorable long-term outcomes and improved quality of life compared to conservative management.

Related Experiment Videos