title: [Cardiac surgery in octogenarians: a five-year experience].
abstract: BACKGROUND
  Cardiac surgery in octogenarians is increasing in industrialized countries and therefore represents a growing population. The aim of this study was to evaluate characteristics and outcomes of octogenarian patients undergoing cardiac surgery.
  
  
  METHODS
  We reviewed all consecutive octogenarians operated on during the last 5 years. Among 1912 patients operated on between April 2000 and December 2004, we identified 223 patients (11.6%) aged > 80 years. Median age was 82.17 +/- 2.11 years, and 52.5% were males. The mean EuroSCORE score was 9.4 +/- 1.8. Among them 43 patients (19.3%) had isolated aortic valve replacement, 127 patients (57%) had isolated coronary artery bypass graft, 40 patients (17.9%) had aortic valve replacement combined with coronary artery bypass graft, 11 patients (4.9%) had mitral valve repair, and 2 patients (0.9%) had ventricular septal rupture repair.
  
  
  RESULTS
  The overall hospital mortality was 5.4%; cumulative actuarial survival at 4 years was 77.6%.
  
  
  CONCLUSIONS
  We conclude that for unselected octogenarians the operative mortality is acceptable and only slightly increased than in younger age groups; the late survival rate is good.
authors.affiliation: U. O. di Cardiochirurgia, Azienda Ospedaliera "C. Poma", Mantova. pednik@yahoo.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Pederzolli
authors.forename: Vinicio
authors.initials: V
authors.lastname: Fiorani
authors.forename: Anna
authors.initials: A
authors.lastname: Maizza
authors.forename: Ernesto
authors.initials: E
authors.lastname: Tappainer
authors.forename: Mario
authors.initials: M
authors.lastname: Zogno
mesh_terms: D000206:Actuarial Analysis; D000369:Aged, 80 and over; D000375:Aging; D006348:Cardiac Surgical Procedures / Q000401:mortality; D001026:Coronary Artery Bypass / Q000401:mortality; D005260:Female; D006349:Heart Valve Diseases / Q000401:mortality / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000401:mortality; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D012189:Retrospective Studies; D018570:Risk Assessment; D016019:Survival Analysis; D018658:Ventricular Septal Rupture / Q000401:mortality / Q000601:surgery