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Published in: Indian Journal of Thoracic and Cardiovascular Surgery 2/2019

01-06-2019 | Review Article

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

Authors: Ahmed Al-Adhami, Amer Harky, Mohamad Bashir, Shyamsunder Kolvekar

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Special Issue 2/2019

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Abstract

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.
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Metadata
Title
Replacing the ascending aorta in the elderly: do or do not
Authors
Ahmed Al-Adhami
Amer Harky
Mohamad Bashir
Shyamsunder Kolvekar
Publication date
01-06-2019
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue Special Issue 2/2019
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-018-0734-z

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