OBJECTIVE: The management of acute @entity1580 in elderly @entity1 is controversial. This study aimed to investigate the validity of ascending aortic replacement for acute @entity1580 in octogenarians compared with younger @entity1 . METHODS: Twenty-five octogenarians, among 117 consecutive @entity1 with acute @entity1580 between January 2000 and October 2013 who underwent emergency surgery, were reviewed retrospectively. The median age was 84  years (80-91  years). The @entity1 were six @entity1 and 19 @entity1 . All 25 @entity1 underwent ascending aortic replacement under deep hypothermic @entity1167 . In the same period, 55 @entity1 younger than 80  years with acute @entity1580 had ascending aortic replacement performed. Clinical data were prospectively entered into our institutional database. Late follow-up was 6.8      2.8  years and was 100  % complete. RESULTS: The 30-day mortality rate was 8  % (2/25 @entity1 ), which was similar to that in @entity1 younger than 80  years (5  %). There were no reoperations in octogenarians and five reoperations in younger @entity1 in the follow-up period. Survival at 1 and 5  years was 80.0 and 59.7  % in octogenarians and 90.6 and 81.9  % in younger @entity1 , respectively (P  =  0.036). CONCLUSION: Ascending aortic replacement for octogenarians with acute @entity1580 was successfully performed, resulting in satisfactory early and midterm survival. Aggressive surgical treatment is mandatory for improving the outcome in octogenarians with acute @entity1580 .

Ascending aortic replacement for acute XXXX in octogenarians.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity1580 :: ('MESH:C562834', 'Disease') :: ['type A aortic dissection'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['circulatory arrest']
@entity1580 :: (MESH:C562834,Disease) :: ['type A aortic dissection']
