[Infrarenal aneurysm of the abdominal aorta in the elderly--surgical risk vs. danger of rupture].
426 consecutive patients who underwent operation for the resection of abdominal aortic aneurysm (AAA) between 1982 and 1985 were reviewed. The rate of the over 75-years old patients was 16.2%. In patients over 75 years, operated on electively, mortality was 4.2% but 47.6% in emergency cases. Compared with the younger patients the incidence of risk factors affecting mortality was only higher for myocardial insufficiency. AAA-rupture is more frequent in women. For asymptomatic AAA in the elderly an unstable angina pectoris, myocard insufficiency or incurable cancer limit operative approach because life-time will not benefit.
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D012306:Risk
Das infrarenale Bauchaortenaneurysma beim alten Menschen--Operationsrisiko vs. Rupturgefahr.