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Vascular Disease in Older Adults pp 127–142Cite as

Aortic Aneurysm Disease in the Elderly

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Abstract

Aortic aneurysm is a disease predominately affecting the elderly. Since Parodi revolutionized the treatment with the development of endovascular aortic aneurysm repair in the 1990s, the utilization is increasing, with the elderly representing the fastest growing segment of the population. When considering endovascular or open surgery in the aging population, the untreated aneurysm should be considered the major driving factor in late mortality rather than a patient’s other comorbidities. The goal of aneurysm repair is to reduce risk of death from rupture. Patient comorbidities factor into estimating the degree in which someone will benefit from prophylactic repair. Patients with a high risk of rupture and minimal comorbidities should be offered repair. Open repair is tolerated poorly in the elderly population. Endovascular repair offers decreased mortality; however, patients may require secondary interventions and require lifelong surveillance.

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Authors and Affiliations

  1. Division of Vascular Surgery, Froedtert & the Medical College of Wisconsin, Milwaukee, WI, USA

    Max Wohlauer

  2. Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH, USA

    Matthew J. Eagleton

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  1. Max Wohlauer
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  2. Matthew J. Eagleton
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Correspondence to Matthew J. Eagleton .

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Editors and Affiliations

  1. Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Rabih Chaer

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Wohlauer, M., Eagleton, M.J. (2017). Aortic Aneurysm Disease in the Elderly. In: Chaer, R. (eds) Vascular Disease in Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-29285-4_7

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  • DOI: https://doi.org/10.1007/978-3-319-29285-4_7

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