[Heart surgery in the elderly].
The literature of the last five years is reviewd to evaluate the mortality and morbidity of the cardiac surgery (valve replacement and aorto-coronary by-pass, single or combined) in comparison with other patients. There is some slight increase in mortality and morbidity of these patients, depending on of non cardiac causes. Cardiac surgery can improve the quality of live and increase life expectancy of these patients, but the results are influenced by age. On the surgery of valve replacement is important to avoid the funcional deterioration, because the mortality on classe IV is very high. The results of aorto-coronary by-pass on the elderly are not influenced by the coronary anatomy on these ages. The mortality is slightly increased on the majority of the published results. Urgent surgery has a very high mortality on theses ages. The perfection of the surgical techniques and a carefull post-operative care are essencial factors for a good result.
Correia
J F
JF
Serviço de Cardiologia, Hospital Pulido Valente, Lisboa.
D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000401:mortality; D001026:Coronary Artery Bypass / Q000401:mortality; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D011183:Postoperative Complications
Cirurgia cardíaca no idoso.