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Prophylaktische Indikation beim thorakalen Aortenaneurysma

  • L. Sunder-Plassmann
  • R. Scharrer-Pamler
  • K. H. Orend
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Zusammenfassung

In Kenntnis der Mittelwerte für Expansionsrate, Rupturgefährdung und individuelle Lebenserwartung des über 70jährigen Aneurysmaträgers mit und ohne Rupturereignis sowie dessen Operationsrisiko in Abhängigkeit von Aneurysmakonfigu-ration und Risikofaktoren ist bei jedem Patienten die individuelle Nutzen/Risiko-Analyse für die prophylaktische Indikation durchzuführen. Für die Operation zu selektieren sind nur die Patienten, welche bei großem, rasch expandierendem Aneurysma aufgrund ihres guten Allgemeinzustandes: 1. das Rupturstadium erleben würden und 2. die Operation mit vertretbarem Risiko überstehen. Endovaskuläre Stentprothesen befinden sich im experimentellen Stadium.

Schlüsselwörter Expansionsrate Rupturgefährdung Spontanverlauf Operationsrisiko 

Prophylactic Operations in Aneurysms of the Thoracic Aorta in Elderly Patients

Summary

Prophylactic operations of aneurysms of the descending thoracic aorta have to take into consideration the expansion rate, probability of rupture and individual life expectancy of patients >70 years of age as well as the individual risk of operation. Candidates for elective surgery are those with large aneurysms and low operative risk from low comorbidity who are expected to experience death from acute rupture unless operated on in a prophylactic way. Endoluminal stent grafts — though very attractive in this aortic segment — are still in statu nascendi and not recommended for general use.

Key words

Expansion rate Probability of rupture Individual life expectancy 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • L. Sunder-Plassmann
    • 1
  • R. Scharrer-Pamler
    • 1
  • K. H. Orend
    • 1
  1. 1.Chirurgische UniversitätsklinikUlmDeutschland

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