Wariishi S, Sasaguri S
Department of Thoracic & Cardiovascular Surgery and Regeneration Technology, School of Medicine, Kochi University, Kochi, Japan.
Kyobu Geka. 2005 Jul;58(8 Suppl):682-8.
Surgery for aneurysms of the aortic arch in octogenarians can be performed with increased but operative mortality remains high. Minimally invasive operation may be required for further improvement of the outcome of surgery for aneurysms of the aortic arch in octogenarians. Aged patients with life-threatening events have excessive mortality and morbidity. We think that sugery for aneurysms of the aortic arch in octogenarians should not be withheld on the basis of age alone, but should be based on careful assessments of the relative medical risks and benefits, as well as the wishes of the patients and family.
八旬老人主动脉弓动脉瘤的手术治疗虽可增加，但手术死亡率仍然很高。可能需要进行微创手术以进一步改善八旬老人主动脉弓动脉瘤的手术效果。患有危及生命事件的老年患者死亡率和发病率过高。我们认为，不应仅基于年龄而拒绝为八旬老人进行主动脉弓动脉瘤手术，而应基于对相对医疗风险和益处的仔细评估，以及患者和家属的意愿。
