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Related Experiment Videos

Open heart surgery in geriatric patients.

S H Hou1, S H Chu, C R Hung

  • 1Department of Surgery, National Taiwan University Hospital, Taipei, R.O.C.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|November 1, 1992
PubMed
Summary

Open heart surgery in patients 65 and older is increasingly common. While risks exist, selected elderly patients can achieve clinical improvement with acceptable outcomes, indicating age alone shouldn't be a contraindication.

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Area of Science:

  • Cardiovascular Surgery
  • Geriatric Medicine
  • Thoracic Surgery

Background:

  • The scope of open heart surgery has expanded with medical advancements.
  • An increasing proportion of open heart surgeries are performed on elderly patients (65+ years).

Purpose of the Study:

  • To evaluate the outcomes and risks of open heart surgery in patients aged 65 years and older.
  • To determine if age alone should be a contraindication for cardiac surgery.

Main Methods:

  • Retrospective analysis of 114 consecutive patients aged 65+ who underwent open heart surgery with cardiopulmonary bypass between 1975 and 1987.
  • Data collected included patient demographics, surgical indications, operative mortality, and follow-up outcomes.

Main Results:

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  • The study included 114 patients (86 males, 28 females) aged 65-88 years. Common indications were coronary artery disease (57%) and valvular heart disease (36%).
  • Overall operative mortality was 23.6% (27/114), with higher mortality for more complex procedures. Isolated coronary artery bypass surgery had 12% mortality; single valvular surgery had 11% mortality.
  • Subsequent mortality during follow-up was 5.7%.

Conclusions:

  • Open heart surgery can be safely performed in selected elderly patients (65+) with acceptable risks.
  • Thorough pre-operative assessment is crucial for elderly cardiac patients due to potential organ degeneration and comorbidities.
  • Age should not be an absolute contraindication to open heart surgery; clinical improvement is achievable.