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Outcome of cardiac and thoracic aortic operation in patients over 80 years old

Yoshito Kawachi1, Atuhiro Nakashima, Yoshihiro Toshima

  • 1Department of Cardiovascular Surgery, Clinical Research Institute, National Kyushu Medical Center Hospital, Fukuoka, Japan. kawachiy@qmed.hosp.go.jp

Asian Cardiovascular & Thoracic Annals
|June 25, 2002
PubMed

Insights

Cardiac and thoracic aortic surgery in octogenarians (over 80) showed acceptable early outcomes. Selected elderly patients experienced manageable mortality and morbidity rates following these complex procedures.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Geriatric Medicine

Background:

  • Cardiac and thoracic aortic surgeries are complex procedures.
  • Octogenarians represent a growing patient demographic undergoing surgery.
  • Outcomes in this elderly population require careful evaluation.

Purpose of the Study:

  • To evaluate the early outcomes of cardiac and thoracic aortic surgery in patients over 80 years old.
  • To determine mortality and morbidity rates for specific procedures in octogenarians.

Main Methods:

  • Retrospective analysis of 41 octogenarian patients undergoing surgery between 1994 and 2000.
  • Procedures included coronary artery bypass grafting, valve surgery, thoracic aortic aneurysm repair, and combined surgeries.
  • Data collected on hospital mortality and major postoperative complications.

Main Results:

  • Overall hospital mortality was 9.8%.
  • Procedure-specific mortality: coronary bypass (12%), valve surgery (0%), thoracic aortic aneurysm repair (14%).
  • Major complications occurred in 27% of patients; perioperative stroke incidence was low (2.4%).

Conclusions:

  • Cardiac and thoracic aortic operations can be performed with acceptable outcomes in selected octogenarians.
  • Careful patient selection is crucial for successful surgical outcomes in the elderly.
  • These findings support the consideration of surgical intervention for appropriate elderly patients.

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