Cardiac surgery in octogenarians
- 17 November 2004
- journal article
- Published by Wiley in Anz Journal of Surgery
- Vol. 74 (11), 983-985
- https://doi.org/10.1111/j.1445-1433.2004.03214.x
Abstract
Early and late results were studied in order to improve the indications for surgery in the elderly.Two hundred and thirty-seven patients aged 80 years or older underwent cardiac surgery between 1987 and 2001. The mean age of patients, which included 148 men and 89 women, was 82 years. Elective operations were performed in 194 patients and urgent or emergency operations in 43. Coronary artery bypass grafting (CABG) was performed in 104 patients, valve surgery in 60, CABG plus valve in 58, and other surgery in 15. Late results were obtained in 91% of patients, and the mean follow-up period was 54 months.Operative mortality was 9% in total; 7% in CABG, 5% in valve, 10% in CABG plus valve. Operative mortality was significantly higher in the urgent/emergency group than in the elective group (25% vs 6%). The actuarial survival rate for hospital survivors at 60 months after surgery was 75% and the mean survival period 76 months. There were no significant differences among operations. Preoperatively 81% of the patients had been in New York Heart Association class III or IV, and 88% of survivors were in class I or II in the late period.Early and late results for elective surgery in octogenarians are satisfactory. However, for urgent or emergent cases, there is a marked increase in morbidity and mortality.Keywords
This publication has 9 references indexed in Scilit:
- Cardiac surgery in nonagenarians and centenariansJournal of the American College of Surgeons, 2003
- Cardiac surgery in Australian octogenarians: 1996−2001Anz Journal of Surgery, 2003
- The aging human myocardium: tolerance to ischemia and responsiveness to ischemic preconditioningThe Journal of Thoracic and Cardiovascular Surgery, 2003
- Cardiac surgery in octogenariansActa Cardiologica, 2001
- Tolerance to ischemia and hypoxia is reduced in aged human myocardiumThe Journal of Thoracic and Cardiovascular Surgery, 2000
- Outcomes of cardiac surgery in patients age ≥80 years: results from the National Cardiovascular NetworkJournal of the American College of Cardiology, 2000
- Outcomes of Coronary Artery Bypass Graft Surgery in 24 461 Patients Aged 80 Years or OlderCirculation, 1995
- Effect of age on mortality in coronary artery bypass surgery in New York, 1991–1992American Heart Journal, 1994
- Open-Heart Surgery in OctogenariansNew England Journal of Medicine, 1988