Abstract
We report the early results of thoracic endovascular aortic repair (TEVAR) for elderly patients over 80 years. From January 2007 to June 2010, we performed TEVAR in 119 patients. We divided the patients into 2 groups: group H (elderly patients over 80 years); and group C (elderly patients under 80 years). The preoperative, intraoperative and postoperative factors were compared between the 2 groups. The mean age of the patients was 82.4 years old in group H and 69.7 years old in group C. There was no significant difference in preoperative comorbidity or past history, except in cancer patients, between the 2 groups. The operative and anesthetic durations were 151.9±69.4 minutes and 243.2±77.4 minutes in group H, and 159.9±109.7 minutes and 243.2±113.1 minutes in group C, respectively. Postoperative factors, such as major complications, length of postoperative hospital stay and percentage of patients discharged to their own home were also similar in both groups. There were 5 early deaths (6.2%) in group C only. Conclusion: TEVAR can be performed safely in elderly patients over 80 years as well as in elderly patients under 80 years.
