Replacing the ascending aorta in the elderly: do or do not

  • Ahmed Al-Adhami
  • Amer Harky
  • Mohamad BashirEmail author
  • Shyamsunder Kolvekar
Review Article


Advanced age is a proven independent factor for perioperative morbidity and mortality in all forms of aortic surgery and forms an important variable in most available risk scores. Improvements in selection and perioperative management of high-risk elderly cohorts have reduced the incidence of adverse outcomes. Concerns remain however in the surgical and anesthesiology community that exposing elderly frail patients to ascending aortic surgery is associated with significant risk. As with many clinical scenarios, individualization of care for each patient is of paramount importance. With advances in our understanding of perioperative and intraoperative care, age should no longer be considered in isolation as a contraindication to ascending aortic surgery.


Aorta Elderly Aneurysm 


Compliance with ethical standards

No ethical approval required for this study.

Informed consent

No informed consent was needed for this review.

Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Ahmed Al-Adhami
    • 1
  • Amer Harky
    • 2
  • Mohamad Bashir
    • 3
    Email author
  • Shyamsunder Kolvekar
    • 4
  1. 1.Department of Cardiothoracic SurgeryGolden Jubilee National HospitalGlasgowUK
  2. 2.Department of Vascular SurgeryCountess of ChesterChesterUK
  3. 3.Department of Aortovascular SurgeryManchester Royal InfirmaryManchesterUK
  4. 4.Department of Cardiac SurgeryBarts Heart CentreLondonUK

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