| Ruptured Abdominal Aortic Aneurysms
in Four Nonagenarians |
(Department of Surgery, Metropolitan Fuchu Hospital,
Fuchu, Japan)
| Akira Oshima |
Taisei Maemura |
|
|
We encountered 4 nonagenarian cases
of ruptured abdominal aortic aneurysm (RAAA). They were 2 men
and 2 women aged between 90 and 94. Two cases were saved but
two were lost. The percentage of success in this age group was
low but there was no statistical inferiority. The serum hemoglobin
levels on admission were low and they had a tendency towards
acidosis in spite of fairly good blood pressure. The causes of
death were hemorrhagic shock and intestinal necrosis. We have
to treat more carefully and vigorously to secure elderly surgical
cases of RAAA. One patient died of cerebral infarction after
discharge. We recommend that the patients of RAAA in nonagenarians
should undergo surgical operations except in cases of severe
shock or cardiopulmonary arrest.
Jpn. J. Cardiovasc. Surg. 33: 235-239 (2004) |
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