title: Successful acute type A aortic dissection repair in a nonagenarian.
abstract: Surgical repair in older patients with acute type A aortic dissection (ATAAD) evokes a higher peri- and postoperative mortality, it therefore remains controversial in nonagenarians. The authors present a case of a surgically managed ATAAD in a nonagenerian, a 94-year-old man presented with an uncomplicated ATAAD, necessitating emergency surgical repair. The subsequent postoperative course was uneventful, and the patient was discharged after uncomplicated recovery. Aggressive surgical approach should be feasable in select nonagenarian patients with ATAAD, depending on the clinical presention and prior patient history.
authors.affiliation: Department of Cardiovascular Surgery, Heinrich Heine University, Medical Faculty, Moorenstrasse 5, 40225 Dusseldorf, Germany, Europe.
authors.forename: Edward
authors.initials: E
authors.lastname: Ansari
authors.affiliation: Department of Cardiovascular Surgery, Heinrich Heine University, Medical Faculty, Moorenstrasse 5, 40225 Dusseldorf, Germany, Europe.
authors.forename: Alexander
authors.initials: A
authors.lastname: Blehm
authors.affiliation: Department of Cardiovascular Surgery, Heinrich Heine University, Medical Faculty, Moorenstrasse 5, 40225 Dusseldorf, Germany, Europe.
authors.forename: Udo
authors.initials: U
authors.lastname: Boeken
authors.affiliation: Department of Cardiovascular Surgery, Heinrich Heine University, Medical Faculty, Moorenstrasse 5, 40225 Dusseldorf, Germany, Europe.
authors.forename: Arthur
authors.initials: A
authors.lastname: Lichtenberg
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000295:instrumentation* / Q000379:methods*; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D019544:Equipment Failure Analysis; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000295:instrumentation* / Q000379:methods*