title: Operative and Mid-Term Outcomes of Thoracic Aortic Operation in Octogenarians and Beyond.
abstract: OBJECTIVE
  To study the short and mid-term outcomes of thoracic aortic operations in patients ≥80 years old.
  
  
  METHODS
  This is a retrospective chart review of patients ≥80 years old who underwent thoracic aortic operation in our institution between 2006 and 2013.
  
  
  RESULTS
  Ninety-eight patients were studied. Fifty-four patients underwent open repair; 41 underwent endovascular repair; and three underwent hybrid repair with aortic arch debranching and subsequent endovascular stent graft. Hospital mortality rate among the entire cohort was 11/98 (11%): 7/54 (13%) for open repair; 2/41 (5%) for endovascular repair; and 2/3 (66%) for hybrid repair. Major adverse events occurred in 23/98 (23%) in the entire cohort: 15/54 (28%) in open repair; 5/41 (12%) in endovascular repair; and 3/3 (100%) in hybrid repair. Mean follow-up was 31 ± 28 months (median 26 months). Two- and five-year survival rates were 57%, and 34% for the open approach and 71%, and 43% for the endovascular approach respectively.
  
  
  CONCLUSIONS
  Both open and endovascular thoracic aortic repairs can be performed with favorable mortality and perioperative morbidity in appropriately selected octogenarian patients. doi: 10.1111/jocs.12722 (J Card Surg 2016;31:334-340).
authors.affiliation: Division of Cardiovascular Medicine, University of Florida, Gainesville, Florida.
authors.forename: Ashkan
authors.initials: A
authors.lastname: Karimi
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Matthew R
authors.initials: MR
authors.lastname: McCord
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Beaver
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Tomas D
authors.initials: TD
authors.lastname: Martin
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Hess
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Adam W
authors.initials: AW
authors.lastname: Beck
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Feezor
authors.affiliation: Department of Surgery, University of Florida, Gainesville, Florida.
authors.forename: Charles T
authors.initials: CT
authors.lastname: Klodell
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003952:Diagnostic Imaging; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005431:Florida / Q000453:epidemiology; D005500:Follow-Up Studies; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D015607:Stents; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D014057:Tomography, X-Ray Computed