Results of the surgical management of abdominal aortic eurysms in 80 patients over 80 years of age

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dc.catalogadoraba
dc.contributor.authorValdés E., Francisco
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorKramer, Albrecht
dc.contributor.authorMertens Martin, Renato
dc.contributor.authorCanessa, Roberto
dc.contributor.authorLema F., Guillermo
dc.contributor.authorGarayar Pulgar, Bernardita
dc.contributor.authorUrzua Urzua, Jorge
dc.date.accessioned2025-04-01T12:44:03Z
dc.date.available2025-04-01T12:44:03Z
dc.date.issued2003
dc.description.abstractBackground: Abdominal aortic aneurysms (AAA) may be lethal unless appropriately and timely treated. Since age is a surgical risk, octogenarians are usually not considered as candidates for surgical intervention. Aim: To asses surgical complications and mortality in octogenarians treated for AAA. Subjects and Methods: Patients aged 80 years older, treated consecutively between 1984-2001 were retrospectively analyzed. Results: Sixty one patients were male, and their age ranged from 80 to 95 years. All were treated with open surgery. The operation was elective in 58 and as an emergency in 22 patients (symptomatic or ruptured AAA). Aortic diameter was 6.8+/-1.4 cm in asymptomatic patients and 7.7+/-1.8 cm in emergency cases (p=0.024). Thirty days postoperative mortality was 5.1% in elective surgery compared to 40.6% in emergency operations (p < 0.01). Five years survival rate was 44.7% in asymptomatic patients compared to 10.4% in the emergency cases (p < 0.023). Conclusions: Elective surgery for asymptomatic AAA can be performed with low operative mortality in octogenarians. However, surgery in emergency cases has an 8 fold increase in risk. Accordingly, octogenarian patients should be considered for elective AAA repair in a selective basis.
dc.format.extent6 páginas
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872003000900003
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:14635584
dc.identifier.scieloidS0034-98872003000900003
dc.identifier.urihttp://doi.org/10.4067/S0034-98872003000900003
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103046
dc.identifier.wosidWOS:000186475300003
dc.information.autorucEscuela de Medicina; Valdés E., Francisco; S/I; 23979
dc.information.autorucEscuela de Medicina; Bergoeing Reid Michel Paul; 0000-0002-8900-1645; 92603
dc.information.autorucEscuela de Medicina; Kramer, Albrecht; S/I; 98256
dc.information.autorucEscuela de Medicina; Mertens Martin, Renato; 0000-0001-6929-4850; 75745
dc.information.autorucEscuela de Medicina; Canessa, Roberto; S/I; 55800
dc.information.autorucEscuela de Medicina; Lema F., Guillermo; 0000-0001-9134-2169; 99835
dc.information.autorucEscuela de Medicina; Garayar Pulgar Bernardita; S/I; 65074
dc.information.autorucEscuela de Medicina; Urzúa Urzúa, Jorge; S/I; 98495
dc.issue.numero9
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final986
dc.pagina.inicio981
dc.revistaRevista Medica de Chile
dc.rightsacceso abierto
dc.rights.licenseAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.en
dc.subjectAged
dc.subject80 and over
dc.subjectAneurysm
dc.subjectDissecting
dc.subjectSurgical procedures
dc.subjectOperative
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleResults of the surgical management of abdominal aortic eurysms in 80 patients over 80 years of age
dc.typeartículo
dc.volumen131
sipa.codpersvinculados23979
sipa.codpersvinculados92603
sipa.codpersvinculados98256
sipa.codpersvinculados75745
sipa.codpersvinculados99835
sipa.codpersvinculados65074
sipa.codpersvinculados98495
sipa.trazabilidadORCID;2025-03-03
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