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dc.creatorValdés E,Francisco
dc.creatorBergoeing R,Michel
dc.creatorKrämer Sch,Albrecht
dc.creatorMertens M,Renato
dc.creatorCanessa B,Roberto
dc.creatorLema F,Guillermo
dc.creatorGarayar P,Bernardita
dc.creatorUrzúa U,Jorge
dc.date2003-09-01
dc.date.accessioned2019-11-14T12:59:15Z
dc.date.available2019-11-14T12:59:15Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000900003
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/119380
dc.descriptionAbdominal 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
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872003000900003
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.131 n.9 2003
dc.subjectAged
dc.subject80 and over
dc.subjectAneurysm
dc.subjectdissecting
dc.subjectSurgical procedures
dc.subjectoperative
dc.titleAneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos


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