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April 1970

Surgical Treatment of Aortic Aneurysm in the Aged: A Review of 100 Patients

Author Affiliations

San Francisco
From the Department of Surgery, Veterans Administration Hospital, and University of California School of Medicine, San Francisco. Dr. Zubrin is now in the US Army Medical Corps, Vietnam.

Arch Surg. 1970;100(4):455-460. doi:10.1001/archsurg.1970.01340220131022

Before resection and graft replacement was introduced nearly two decades ago,1 rupture and hemorrhage was a major cause of death in patients with abdominal aortic aneurysms.2,3

In large reported series, the operative mortality rate for elective aneurysmectomy has been reduced 4% to 7%.4-6 Survival time has been significantly lengthened in the operated patients when compared with those followed without operation.7 Resection and replacement is now generally accepted as the treatment of choice in patients whose life expectancy is not limited by other diseases.8,9

The purpose of this report is to review the results of aneurysmectomy in the aged patient, and to evaluate the preoperative, operative, and postoperative factors that influence survival.

Materials and Methods  One hundred patients ranging in age from 60 to 85 years were studied (Table 1). This group of patients was selected out of the total aneurysmectomy series on the basis of