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[Cardiac surgery in octogenarians].

Peter Skov Olsen1, Mehrad Faraz, Stig Jakobsen

  • 1H:S Rigshospitalet, Thoraxkirurgisk Klinik RT, Blegdamsvej 9, DK-2100 København ø.

Ugeskrift for Laeger
|July 23, 2003
PubMed
Summary

Cardiac surgery in octogenarians (patients 80+) is feasible, with acceptable outcomes despite higher mortality than younger groups. Careful patient selection is crucial for successful surgical intervention in this elderly population.

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Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Thoracic Surgery

Background:

  • Increasing numbers of patients over 80 are undergoing cardiac surgery.
  • Elderly patients present unique challenges for cardiac procedures.
  • This study details experience with cardiac surgery in octogenarians.

Purpose of the Study:

  • To evaluate the outcomes of cardiac surgery in patients aged 80 and older.
  • To compare the results in octogenarians with a younger cohort.
  • To assess the feasibility and safety of cardiac procedures in the very elderly.

Main Methods:

  • Prospective data collection over an eight-year period.
  • Analysis of 213 patients aged 80-91 undergoing cardiac surgery.
  • Comparison with 3312 patients aged 60-79 operated during the same period.

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Main Results:

  • 30-day mortality was 8.5% in octogenarians vs. 2.9% in the younger group.
  • Six-month survival was 88% for octogenarians.
  • Octogenarians experienced longer hospital stays and higher rates of atrial fibrillation and multiorgan failure.

Conclusions:

  • Cardiac surgery is achievable in octogenarians with acceptable mortality and morbidity.
  • Risk evaluation and proper patient selection are vital for successful outcomes.
  • The findings support the consideration of cardiac surgery in carefully selected elderly patients.