[Coronary artery bypass surgery in octogenarian].
Between May 1992 and December 1997, 14 parents aged 80 or older underwent CABG with cardiopulmonary bypass. (Group A: mean age 82.1 +/- 1.73). This group was compared with 127 patients aged 70s. (Group B: mean 73.3 +/- 0.70). Left main trunk stenosis was more frequent in group A (p < 0.05), and number of patient who had old myocardial infarction was also frequent (p < 0.05). Emergency operation and preoperative use of intra aortic balloon pump was frequent in group A (p < 0.05). While there was no significant change in the number of graft per patient and used number of internal thoracic artery between the two groups, postoperative complications such as atrial arrhythmia and respiratory failure was appeared more frequently in group A (p < 0.05). The hospital mortality did not differ between the groups (21.4% for group A and 14.2% for group B). In group A, 11 patients are alive without recurrence of angina. In conclusion, while there is many problems pre and post operative term, CABG in over 80 years patients of age was satisfactory result, so we should not exclude octogenarian because of age alone.
Ueyama
K
K
Department of Surgery, Fukui Cardiovascular Center, Japan.
Ohashi
H
H
Tsutsumi
Y
Y
Kawai
T
T
Ueyama
K
K
Ueda
T
T
Ohnaka
M
M
D000368:Aged; D000369:Aged, 80 and over / Q000706:statistics & numerical data*; D001026:Coronary Artery Bypass / Q000379:methods / Q000706:statistics & numerical data*; D004630:Emergencies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D017202:Myocardial Ischemia / Q000601:surgery