A case of successful thoracic endovascular aneurysm repair in a 106-year-old female

As the population ages, the average age of patients is expected to rise. Here, we describe a successful case of thoracic endovascular aneurysm repair (TEVAR) performed in a 106-year-old female. The patient had an impending rupture of 6 cm saccular aneurysm at the descending thoracic aorta. Although the patient was super senile, her activity of daily living was independent. After multiple multidisciplinary conference and informed consent, TEVAR using local and venous anesthesia was successfully performed. This case illustrates the importance of strict examination of each case for treatment indications, including risk/benefit balance, in a super aging world.