| Surgical Treatment of Abdominal
Aortic Aneurysm in Octogenarians |
(Department of Cardiovascular Surgery, Yamanashi
Prefecture Central Hospital, Kofu, Japan)
| Narutoshi Hibino |
Koji Tsuchiya |
Masato Nakajima |
| Hideki Sasaki |
Harunobu Matsumoto |
Yuji Naito |
|
We reviewed 223 cases of surgical
treatment for abdominal aortic aneurysm in octogenarians in this
hospital between 1981 and 2000, and investigated the characteristic
features, complications, and indications of the operation. The
cases were divided into two age groups. Group O included 23 cases
of octogenarians, and Group Y included 200 cases of patients
under 80 years old. The average age was 68.6 years old in group
Y (33-79 years old), and 83 years old in group O (80-93 years
old). The hospital mortality rate was 0% in elective operation
cases. In emergency operation case, Group O had a hospital mortality
rate of 57.1%, significantly higher than the 6.1% for group Y.
The hospital mortality rate was 17% in group O and 0.5% in group
Y. The rate of emergency operation case was significantly higher
in group O (30.4%) compared to group Y (16.5%). As for the preoperative
complications, group O had more cases of renal dysfunction, COPD
and gastrointestinal complication. As for the coronary artery
disease and other cardiovascular complications, there were no
significant differences between the groups. In the postoperative
complication, group O had more cases of ileus, pneumonia, and
cardiovascular disease. These complications were fatal in group
O. These results suggest that surgical treatment for abdominal
aortic aneurysm was performed safely in both groups for elective
operations. Because the results of emergency operations are poor,
early diagnosis and treatment seem to be important for the improvement
of operative results.
Jpn. J. Cardiovasc. Surg. 31：321-324 (2002) |
|
