循環器ジャーナル69巻1号

2021年01月発行

特集 これからの高齢者診療—循環器医が人生100年時代にどう向き合うか？ Ⅲ．高齢者で増加する疾患にどう対処するのか？

大動脈瘤

著者： 坂本和久¹ 湊谷謙司¹

所属機関： ¹京都大学医学部医学研究科器官外科学講座心臓血管外科

ページ範囲：P.100 - P.107

Point
・大動脈瘤，大動脈解離は大きさ，形態，その原因など，また発症部位によってそれぞれ分類されている．疫学的には，高齢化に伴い増加していくことが予想される．
・内科的治療では，急性疾患，慢性疾患により治療方針はそれぞれ異なる．慢性疾患では，血圧管理や喫煙などの動脈硬化性危険因子に対する生活指導，薬物療法が若年者と同様に高齢者においても重要となる．
・外科治療では，病態，治療部位により問題は異なる．ハイリスク患者である高齢者にとって，ステントグラフト治療は治療の選択を広げたが，問題点も認められており，適切な治療選択を多職種でのaortic teamで協議し決定していくことが重要である．

参考文献

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