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[Coronary bypass surgery in octogenarians].

H Arbatli1, M Unal, E Demirsoy

  • 1Kadir Has Univ. Florence Nightingale Hast, Istanbul. harmatli@hotmail.com

Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology
|July 10, 2002
PubMed
Summary

Coronary bypass surgery in octogenarians (patients 80+) is feasible, with acceptable mortality and longer hospital stays. Early intervention and modified techniques can improve outcomes for this elderly group.

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Area of Science:

  • Cardiovascular Surgery
  • Geriatric Cardiology
  • Outcomes Research

Context:

  • Increasingly elderly patient population undergoing cardiac procedures.
  • Need to evaluate surgical outcomes in octogenarians.
  • Comparison of octogenarian outcomes to younger cohorts.

Purpose:

  • To assess the early and late postoperative outcomes of octogenarians undergoing coronary bypass surgery.
  • To compare outcomes between octogenarian and younger patient groups.

Summary:

  • Retrospective review of 55 octogenarian patients (≥80 years) undergoing coronary bypass graft (CABG) between 1995-2001.
  • Complications included atrial fibrillation (21.8%), renal dysfunction (16.4%), and prolonged ventilation (10.9%).
  • Hospital mortality was 7.27%, with a 5-year survival rate of 83.1%.

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Impact:

  • Coronary bypass operations are viable in octogenarians, despite slightly elevated hospital mortality and extended hospital stays.
  • Individualized modifications in cardiopulmonary bypass techniques and early intervention may enhance results for elderly patients.
  • Provides critical data for surgical decision-making in elderly cardiac patients.