Surgical Strategy for Aortic Arch Aneurysms in Octogenarians Shingo Nakai 1 , Tetsuro Uchida 1 , Jun Hayashi 1 , Yoshinori Kuroda 1 , Eiichi Ohba 1 , Atsushi Yamashita 1 , Kimihiro Kobayashi 1 , Tomonori Ochiai 1 , Mitsuaki Sadahiro 2 1Department of the Second Surgery, Yamagata University Keyword: aortic arch aneurysm , octogenarian , debranch thoracic endovascular aortic repair (TEVAR) pp.258-264
Published Date 2021/4/1
DOI https://doi.org/10.15106/j_kyobu74_258
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Backgrounds:The purpose of this study was to evaluate the short- and mid-term outcomes of open aortic arch surgery and debranching thoracic endovascular aortic repair (TEVAR) in octogenarians.

Methods:Between 2011 and 2019, 26 patients with atherosclerotic aortic arch aneurysms underwent surgery at our institution [open aortic arch surgery (group O):10 patients, debranching TEVAR (group D):16 patients].

Results:There was no operative death in either group. The mean length of hospitalization and intensive care unit stay were 49 and 13 days in group O and 12 and 2 days in group O, respectively. Kaplan-Meier analyses of overall survival (1/6/12/24/36/48 months) showed mortality rates of 100/100/88/88/70/70% in group O and 100/100/87/61/43/26% in group D, respectively.

Conclusions:The acceptable outcomes was demonstrated in octogenarians underwent both open aortic arch surgery and debranching TEVAR. Because of early postoperative recovery, debranching TEVER is considered to be a feasible alternative to conventional open aortic arch surgery in octogenarians.

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