How safe is open abdominal aortic aneurysm surgery for octogenarians in New Zealand?
Authors:
- 1 May 2009
- journal article
- Published by Wiley in Anz Journal of Surgery
- Vol. 79 (5) , 344-347
Abstract
Abdominal aortic aneurysm (AAA) is an important cause of mortality for the aged, a group that has been denied surgery in the past for fear of peri-operative mortality. Is this attitude still justified? Analysis of prospectively gathered data from a vascular database. 10.9% of all open AAA operations were in patients older than 79 years with an 8% mortality rate compared to 3% for younger patients. For fit elderly patients with ASA scores less than 3, mortality was just under 4%. Renal failure and wound dehiscence were more common in the elderly. When endovascular repair is not possible in a fit elderly patient, open surgery can be performed with acceptable results.Keywords
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