ABDOMINAL AORTIC ANEURYSM IN A 92-YEAR-OLD MAN

Abstract

A 92-year-old man was admitted to the hospital because of an incidentally diagnosed abdominal aortic aneurysm more than 8cm in size by abdominal CT scan and magnetic resonance imaging during the invertigation of cholecystolithiasis. Following the question of his condition, a myocardial scintigram was performed, which showed an ischemic chnge in the anterior cardiac wall. After coronary angiography, he underwent percutaseous transluminal coronary angioplasty with stent insertion in the left anterior desending coronary artery. Thereafter abdominal aortic aneurysm repair and cholecystecotmy were performed. The postoperative course was uneventful. Presently in Japan, we have an increasing older population in whom abdominal aortic aneurysm repair is needed. This case report indicates that even a 92-year-old man, who was the oldest case in previously reported Japanese, can be operated on successfully after the treatment of risk factors, and in consideration of the mean life expectancy, patient's activities daily and informed consent of his family.