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Cardiac surgery in octogenarians.

T Vermeulen1, I Rodrigus, B Stockman

  • 1Department of Cardiac Surgery, University Hospital of Antwerp, Edegem, Belgium. Inez.Rodrigus@uza.uia.ac.be

Acta Cardiologica
|January 17, 2002
PubMed
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Cardiac surgery in octogenarians (patients aged 80 and over) shows improved symptoms and survival rates. Age alone should not be a reason to refuse life-saving cardiac procedures for the elderly.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Surgical Outcomes

Background:

  • The Western population is aging rapidly, increasing the number of elderly individuals requiring medical consideration.
  • Cardiac surgeons face growing requests to evaluate very elderly patients for cardiac surgery.

Purpose of the Study:

  • To gather data on the outcomes of cardiac surgery in octogenarians.
  • To refine surgical indications and provide more accurate information to patients, families, and physicians.

Main Methods:

  • Retrospective review of 127 patients aged 80-94 who underwent cardiac surgery between 1990-1998.
  • Follow-up data collected via mail or telephone from referring physicians.

Main Results:

  • Hospital mortality was 7.1%, with a 23% late mortality over a mean 2-year follow-up.

Related Experiment Videos

  • Actuarial survival at 108 months was 70%.
  • Pre-operative anginal symptoms (NYHA class III/IV) were present in 83% of patients; 76% of survivors improved to NYHA class I/II post-operatively.

    • Conclusions:

    • Cardiac surgery in very elderly patients can lead to survival with significant symptom improvement.
    • Age should not be the sole factor for refusing cardiac surgery in octogenarians.