[Aortic dissection in elderly patients].

T Kazui; N Washiyama

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PubMed · 16097617

[Aortic dissection in elderly patients].

T Kazui·N Washiyama

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Abstract

We performed 12 operations for aortic dissection in octogenarians from 1997 to 2004. Male : female = 1 : 11. Mean duration of follow-up is 33 +/- 19 months. As regards the etiology, acute type A aortic dissection was 8, chronic type A aortic dissection was 3 and chronic type B aortic dissection with distal arch aneurysm was 1. Total arch replacement was performed in 2 patients and hemiarch replacement in 10. In all patients with acute type A aortic dissection, hemiarch replacement was performed with the aid of selective cerebral perfusion or deep hypothermic circulatory arrest with retrograde cerebral perfusion. Postoperative respiratory failure was found in 1 patient, re-exploration for bleeding in 1, mediastinitis in 1 and temporary neurological dysfunction in 1. There was no hospital mortality. Two patients were died of respiratory failure 4 and 27 months after surgery. The results were acceptable. We recommend that age should not be the only determinant in deciding whether emergency operation should be performed in octogenarians.

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Age Factors Aged Aged, 80 and over Aortic Dissection Aorta, Thoracic Aortic Aneurysm Blood Vessel Prosthesis Implantation Diagnostic Imaging Female Humans Male Postoperative Care Prognosis Retrospective Studies English Abstract Journal Article

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T Kazui, N Washiyama. 2005. [Aortic dissection in elderly patients].. https://pubmed.ncbi.nlm.nih.gov/16097617/

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