title: [Isolated or combined myocardial revascularization in patients over 65 years of age].
abstract: Of a total of 4 952 patients undergoing surgery between 1975 and 1982 for coronary artery disease, 430 (8.7%) were over 65. Single or multiple coronary by-pass was carried out in all patients, either alone or in combination with other procedures (aortic valve replacement: 16 cases; mitral: 10 cases; mitral aortic: 3 cases; mitral-tricuspid: 1 case; vascular surgery: 8 cases; aneurysm resection + mitral stenosis: 15 cases). Hospital mortality was 6.9%. Clinical improvement (NYHA), despite the short follow-up, was most considerable: only 6% of the patients failed to show improvement. The risks of surgery are therefore acceptable and, given the high improvement rate, operation is to be encouraged in this age group.
mesh_terms: D000368:Aged; D003327:Coronary Disease / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D004691:Endarterectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D009204:Myocardial Revascularization / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012189:Retrospective Studies; D012306:Risk
vernacular_title: La revascularisation du myocarde isolée ou combinée chez les patients de plus de 65 ans.