Aneurisma aórtico abdominal en pacientes mayores de 80 años: tratamiento quirúrgico convencional en 80 casos consecutivos
Autor: | Renato Mertens M, Albrecht Krämer Sch, Jorge Urzúa U, Roberto Canessa B, Bernardita Garayar P, Michel Bergoeing R, Guillermo Lema F, Francisco Valdés E |
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Jazyk: | Spanish; Castilian |
Rok vydání: | 2003 |
Předmět: |
operative
medicine.medical_specialty business.industry Open surgery Operative mortality Retrospective cohort study dissecting General Medicine medicine.disease Asymptomatic Aneurysm Surgery Surgical procedures medicine 80 and over Elective surgery medicine.symptom business Survival rate Survival analysis Aged |
Zdroj: | Revista médica de Chile v.131 n.9 2003 SciELO Chile CONICYT Chile instacron:CONICYT |
Popis: | Background: 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 |
Databáze: | OpenAIRE |
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