abdominal aortic aneurysmis surgical therapy in over 80yearold patients justified abdominal aortic aneurysm repair in patients of 80 years and older has been performed in 51 patients over a period of ten years from 1985 to 1995 onethird of these patients underwent emergency operation for ruptures the low mortality rate of 32 for the elective repair and the good long time survival expectancy which does not differ very much from the life expectancy of the general population over 80 years justify the elective abdominal aortic aneurysm repair in octogenarians the high mortality rate of 692 in the case of rupture emphasizes the importance of elective aneurysm repair