[Surgery of coronary revascularization in patients over 70. Apropos of 40 cases].
40 of the 900 patients operated upon for aorto-coronary bypass grafting between January 1980 and October 1984, were over 70 years old (mean 71.1; range: 70-76 years old). 25 had severe angina pectoris (class III or IV) and 15 of them had emergency surgery. An average of 2 grafts per patient was performed with 3 deaths and 3 myocardial infarcts in the peri-operative period. Patients had an average of 21 months follow-up (range 5 years, 3 months); in that period 2 deaths due to myocardial infarction, 3 persistent angina pectoris (class II) and 32 asymptomatic patients were observed. These results illustrate advances in cardiac surgery, anesthesia and postoperative management. Coronary surgery may therefore be performed in patients over 70 years old with an acceptable operative risk and satisfactory longterm results.
Seguin
J
J
Service de Chirurgie thoracique et cardiovasculaire, Hôpital Saint-Eloi, Montpellier.
Coulon
P
P
Grolleau
R
R
Chaptal
P A
PA
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012307:Risk Factors
Chirurgie de revascularisation coronaire chez les sujets âgés de plus de 70 ans. A propos de 40 cas.