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[Cardiac surgery in octogenarians: a five-year experience]
Nicola Pederzolli1, Vinicio Fiorani, Anna Maizza
1U. O. di Cardiochirurgia, Azienda Ospedaliera "C. Poma", Mantova. pednik@yahoo.it
Summary
Cardiac surgery outcomes for octogenarians are acceptable, with a 5.4% hospital mortality and good long-term survival. This study evaluated characteristics and results for patients over 80 undergoing cardiac procedures.
Area of Science:
- Cardiology
- Geriatric Medicine
- Surgical Outcomes
Context:
- Cardiac surgery in patients over 80 years old is becoming more common.
- Evaluating the specific characteristics and outcomes for this growing demographic is crucial.
Purpose:
- To assess the characteristics and outcomes of octogenarian patients undergoing cardiac surgery.
- To determine the operative mortality and long-term survival rates in this age group.
Summary:
- A review of 223 octogenarian patients (aged >80) undergoing cardiac surgery between 2000-2004.
- Procedures included isolated coronary artery bypass graft (57%), isolated aortic valve replacement (19.3%), and combined procedures.
- Overall hospital mortality was 5.4%, with 4-year actuarial survival at 77.6%.
Impact:
- Cardiac surgery in octogenarians demonstrates acceptable operative mortality, only slightly increased compared to younger groups.
- Good late survival rates suggest that cardiac surgery is a viable option for selected octogenarian patients.