Outcome of cardiac and thoracic aortic operation in patients over 80 years old.
A retrospective analysis was performed to determine the early outcome of cardiac and thoracic aortic surgery in patients over 80 years old. Between 1994 and 2000, 41 octogenarians (mean age, 82.6 +/- 2.5 years) underwent coronary artery bypass grafting (25), valve surgery (8), thoracic aortic aneurysm repair (7), or combined valve and bypass surgery (1). Overall hospital mortality was 9.8%. Mortality rates for specific procedures were 12% for coronary bypass, 0% for valve surgery, and 14% for thoracic aortic aneurysm repair. Major postoperative complications affected 27% of patients and included severe low cardiac output, respiratory failure, and acute renal failure, with a low incidence of perioperative stroke (2.4%). Cardiac and thoracic aortic operations can be performed with acceptable mortality and morbidity when appropriately applied in selected octogenarians.
Kawachi
Yoshito
Y
Department of Cardiovascular Surgery, Clinical Research Institute, National Kyushu Medical Center Hospital, Fukuoka, Japan. kawachiy@qmed.hosp.go.jp
Nakashima
Atuhiro
A
Toshima
Yoshihiro
Y
Kimura
Satosi
S
Arinaga
Kouichi
K
D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000401:mortality*; D001026:Coronary Artery Bypass / Q000401:mortality; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D019616:Thoracic Surgical Procedures / Q000401:mortality*; D016896:Treatment Outcome